| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DENNIS K. GREENE INC.3 | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 91711 | HEALTH NET MEDICAL | $93K | — | $93K | 4.49% |
| DENNIS K. GREENE INC. | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 91711 | UNION SECURITY INSURANCE COMPANY PPO DENTAL (CA) | $10K | — | $10K | 7.35% |
| DENNIS K. GREENE INC. | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 91711 | COPOWER VISION | $4K | — | $4K | 10.00% |
| DENNIS K. GREENE INC. Filed as: DENNIS GREENE INC | 630 S INDIAN HILL BOULEVARD SUITE 4 CLAREMONT, CA 91711 | HARTFORD LIFE & ACCIDENT | $3K | — | $3K | 8.00% |
| DENNIS K. GREENE INC. | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 91711 | DELTA DENTAL OF WYOMING | $1K | — | $1K | 5.00% |
| DENNIS K. GREENE INC. | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 91711 | GUARDIAN VOLUNTARY LIFE & AD&D | $2K | — | $2K | 13.18% |
| DENNIS K. GREENE INC. | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 91711 | UDC DENTAL OF CALIFORNIA DHMO DENTAL (CA) | $276 | — | $276 | 10.07% |
| DENNIS K. GREENE INC. | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 91711 | SUN LIFE BASIC LIFE & AD&D | — | — | $0 | — |
| DENNIS K. GREENE INC. | 630 S INDIAN HILL BLVD STE 4 CLAREMONT, CA 91711 | THE STANDARD CLASS LIFE & AD&D | — | — | $0 | — |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 657 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 657 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET MEDICAL | 167 | $2.1M |
| Dental(3 contracts, 3 carriers) | UNION SECURITY INSURANCE COMPANY PPO DENTAL (CA) | 117 | $154K |
| Vision | COPOWER VISION | 135 | $35K |
| Life insurance(3 contracts, 3 carriers) | GUARDIAN VOLUNTARY LIFE & AD&D | 19 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.