| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | BLUE SHIELD OF CALIFORNIA | $97K | $58 | $97K | 5.18% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE | 6200 CANOGA AVENUE, SUITE 300 WOODLAND HILLS, CA 91367 | BLUE SHIELD OF CALIFORNIA | $24K | $0 | $24K | 1.28% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | AETNA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 2.95% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE | 6200 CANOGA AVENUE, SUITE 300 WOODLAND HILLS, CA 91367 | AETNA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 2.46% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | CIGNA GROUP INSURANCE | $5K | $0 | $5K | 10.00% |
| BENEFITMALL3 | 6200 CANOGA AVENUE, SUITE 300 WOODLAND HILLS, CA 91367 | CIGNA GROUP INSURANCE | $0 | $3K | $3K | 5.00% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $0 | $3K | 16.40% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.77% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH INSURANCE COMPANY | $746 | $0 | $746 | 6.21% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE | 6200 CANOGA AVENUE, SUITE 300 WOODLAND HILLS, CA 91367 | BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH INSURANCE COMPANY | $299 | $0 | $299 | 2.49% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 16.28% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | CIGNA GROUP INSURANCE | $581 | $0 | $581 | 9.99% |
| BENEFITMALL3 | 6200 CANOGA AVENUE, SUITE 300 WOODLAND HILLS, CA 91367 | CIGNA GROUP INSURANCE | $0 | $291 | $291 | 5.01% |
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 | 234 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 240 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 224 | $1.9M |
| Dental | AETNA LIFE INSURANCE COMPANY | 367 | $227K |
| Vision | BLUE SHIELD OF CALIFORNIA | 224 | $1.9M |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 233 | $33K |
| Short-term disability | CIGNA GROUP INSURANCE | 27 | $6K |
| Long-term disability | CIGNA GROUP INSURANCE | 234 | $50K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 224 | $1.9M |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 233 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 367 | — |
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.