| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVENUE SUITE 325 WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLAN INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $0 | $19K | $19K | 1.33% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $0 | $2K | $2K | 0.41% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $0 | $2K | $2K | 0.49% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $0 | $2K | $2K | 0.49% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $0 | $2K | $2K | 0.49% |
| PCF INSURANCE SERVICES OF THE WEST3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | CIGNA HEALTH AND LIFE INSURANCE CO | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVENUE SUITE 325 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF CALIFORNIA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $0 | $336 | $336 | 0.43% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVENUE SUITE 325 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVENUE SUITE 325 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF TEXAS, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVENUE SUITE 325 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF MARYLAND, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVENUE SUITE 325 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF VIRGINIA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 6200 CANOGA AVENUE SUITE 325 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF COLORADO, INC. | $0 | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | P.O. BOX 30555 SALT LAKE CITY, UT 84130 | $916K |
| PETER C. FOY & ASSOCIATES EIN 95-4281021 INSURANCE AGENT & BROKER | Insurance agents and brokers Service code 22 | 6200 CANOGA AVE SUITE 325 WOODLAND HILLS, CA 91367 | $0 |
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 | 2,533 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 2,533 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 612 | $2.4M |
| Dental(8 contracts, 8 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 1,682 | $1.8M |
| Vision | VISION SERVICE PLAN | 2,060 | $302K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 2,530 | $328K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 2,533 | $321K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 2,533 | $340K |
| Other(7 contracts, 4 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 2,530 | $4.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,533 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.