| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | BLUE SHIELD OF CALIFORNIA | $90K | $0 | $90K | 5.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE | 6200 CANOGA AVENUE #300 WOODLAND HILLS, CA 91367 | BLUE SHIELD OF CALIFORNIA | $35K | $0 | $35K | 1.95% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | AETNA LIFE INSURANCE COMPANY | $12K | $0 | $12K | 5.26% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS DBA BENEFITMALL.COM | 4851 LBJ FREEWAY #100 DALLAS, TX 75244 | AETNA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 2.39% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | CIGNA GROUP INSURANCE | $4K | $0 | $4K | 10.00% |
| BENEFITMALL3 | 6200 CANOGA AVENUE #300 WOODLAND HILLS, CA 91367 | CIGNA GROUP INSURANCE | $0 | $2K | $2K | 5.00% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 EAST FOOTHILL BLVD. #100 PASADENA, CA 91107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | $1K | $0 | $1K | 9.58% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE | 6200 CANOGA AVENUE #300 WOODLAND HILLS, CA 91367 | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | $227 | $0 | $227 | 2.00% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $0 | $1K | 15.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 EAST FOOTHILL BLVD. #100 PASADENA, CA 91107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $853 | $0 | $853 | 14.99% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 EAST FOOTHILL BLVD. #100 PASADENA, CA 91107 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
| NEW CENTURY INSURANCE SERVICES3 | 16 NORTH SECOND STREET ALHAMBRA, CA 91801 | CIGNA GROUP INSURANCE | $364 | $0 | $364 | 10.00% |
| BENEFITMALL3 | 6200 CANOGA AVENUE #300 WOODLAND HILLS, CA 91367 | CIGNA GROUP INSURANCE | $0 | $182 | $182 | 5.00% |
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 | 262 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 274 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 245 | $1.8M |
| Dental | AETNA LIFE INSURANCE COMPANY | 356 | $230K |
| Vision | BLUE SHIELD OF CALIFORNIA | 245 | $1.8M |
| Life insurance(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 256 | $25K |
| Short-term disability | CIGNA GROUP INSURANCE | 18 | $4K |
| Long-term disability | CIGNA GROUP INSURANCE | 236 | $44K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 245 | $1.8M |
| Other(3 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | 256 | $27K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 356 | — |
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.