| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| G JAMES LENTINI3 | 24539 WALNUT STREET SUITE B SANTA CLARITA, CA 91321 | AETNA HEALTH, INC. | $19K | — | $19K | 4.60% |
| LEBHERZ INSURANCE SERVICES INC3 Filed as: LEBHERZ INSURANCE SERVICES INC. | 1600 WEST HILLSDALE BOULEVARD SAN MATEO, CA 94402 | AETNA HEALTH, INC. | $4K | — | $4K | 0.92% |
| GASPER J. LENTINI3 Filed as: GASPER LENTINI | 24359 WALNUT STREET UNIT B SANTA CLARITA, CA 913216101 | KAISER FOUNDATION HEALTH PLAN INC. | $14K | — | $14K | 4.87% |
| G JAMES LENTINI3 Filed as: G. JAMES LENTINI | 24359 WALNUT STREET SUITE B SANTA CLARITA, CA 91321 | AETNA LIFE INSURANCE CO. | $8K | — | $8K | 7.60% |
| LEBHERZ INSURANCE SERVICES INC3 Filed as: LEBHERZ INSURANCE SERVICES INC. | 1600 WEST HILLSDALE BOULEVARD SAN MATEO, CA 94402 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 1.52% |
| GASPER J. LENTINI3 | 24359 WALNUT STREET SUITE B SANTA CLARITA, CA 91321 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 12.56% |
| GASPER J. LENTINI3 | 24359 WALNUT STREET UNIT B SANTA CLARITA, CA 91321 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 26.48% |
| GASPER J. LENTINI3 | 24359 WALNUT STREET UNIT B SANTA CLARITA, CA 91321 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $595 | — | $595 | 15.01% |
| GASPER J. LENTINI3 | 24359 WALNUT STREET UNIT B SANTA CLARITA, CA 91321 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 35.99% |
| GASPER J. LENTINI3 | 24359 WALNUT STREET SUITE B SANTA CLARITA, CA 91321 | BLUE CROSS OF CALIFORNIA | $4K | — | $4K | — |
| AMWINS3 Filed as: LISI, INC. | 1600 W. HILLSDALE BOULEVARD SAN MATEO, CA 94403 | BLUE CROSS OF CALIFORNIA | — | $976 | $976 | — |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 110 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA HEALTH, INC. | 50 | $705K |
| Dental | AETNA LIFE INSURANCE CO. | 306 | $110K |
| Vision(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 306 | $110K |
| Life insurance(4 contracts, 4 carriers) | AETNA LIFE INSURANCE CO. | 306 | $117K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 116 | $32K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 116 | $32K |
| Prescription drug(3 contracts, 3 carriers) | AETNA HEALTH, INC. | 50 | $705K |
| Other(5 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 306 | $154K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 306 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.