| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLAN INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INS CO. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INS CO. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INS CO. | $0 | $0 | $0 | 0.00% |
| BENEFIT EXPRESS SERVICES LLC3 | 1700 E GOLF ROAD, #600 SCHAUMBURG, IL 60173 | THE LINCOLN NATIONAL LIFE INS CO. | $0 | $18K | $18K | 4.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INS CO. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INS CO. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $0 | $0 | $0 | 0.00% |
| DOUGLAS LOVE3 | 374 SAN BERNARDI NORTH AVE POMONA, CA 91767 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37K | $0 | $37K | 10.41% |
| DAVID SMITH3 | 5025 N RIMHURST AVENEU COVINA, CA 91724 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | $0 | $8K | 2.35% |
| MARIAN E LENCIONI3 Filed as: MARIAN LENCIONI | 10390 COMMERCE CENTER E DRIVE SUITE 260 RANCHO CUCAMONGA, CA 91730 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 1.07% |
| DAVID M COUGHLIN3 Filed as: DAVID COUGHLIN | 2229 WHITE MIST DRIVE LAS VEGAS, NV 89134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 0.75% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF CALIFORNIA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INS CO. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 SUITE 700 WOODLAND HILLS, CA 91367 | MHN | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF NORTH CAROLINA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF VIRGINIA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INS CO. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF TEXAS, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF MARYLAND, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF NEW JERSEY, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF FLORIDA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH PLAN OF ARIZONA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF PENNSYLVANIA, INC. | $0 | $0 | $0 | 0.00% |
| PETER C. FOY & ASSOCIATES3 | 21300 VICTORY BLVD. SUITE 700 WOODLAND HILLS, CA 91367 | CIGNA DENTAL HEALTH OF OHIO, INC. | $0 | $0 | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Other services; Claims processing Service code 12 | P.O. BOX 30555 SALT LAKE CITY, UT 84130 | $1.6M |
| PETER C. FOY & ASSOCIATES EIN 95-4281021 INSURANCE AGENT & BROKER | Insurance agents and brokers Service code 22 | 21300 VICTORY BLVD SUITE 700 WOODLAND HILLS, CA 91367 | $316K |
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 | 4,088 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 4,088 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 505 | $2.5M |
| Dental(12 contracts, 12 carriers) | THE LINCOLN NATIONAL LIFE INS CO. | 2,047 | $2.4M |
| Vision | VISION SERVICE PLAN | 2,446 | $403K |
| Life insurance | THE LINCOLN NATIONAL LIFE INS CO. | 3,158 | $469K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INS CO. | 3,158 | $416K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INS CO. | 3,158 | $449K |
| Other(8 contracts, 4 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 6,365 | $7.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,365 | — |
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.