| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK TATTERSALL3 Filed as: MARK DOUGLAS TATTERSALL | 310 N. WESTLAKE BLVD., SUITE #240 WESTLAKE VILLAGE, CA 91362 | UNITED HEALTHCARE INSURANCE COMPANY | $56K | $0 | $56K | 6.00% |
| MARK TATTERSALL3 Filed as: MARK DOUGLAS TATTERSALL | 310 N. WESTLAKE BLVD., SUITE #240 WESTLAKE VILLAGE, CA 91362 | KAISER FOUNDATION HEALTH PLAN INC. | $21K | $0 | $21K | 6.10% |
| MARK TATTERSALL3 Filed as: MARK DOUGLAS TATTERSALL | 310 N. WESTLAKE BLVD., SUITE #240 WESTLAKE VILLAGE, CA 91362 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $0 | $10K | 9.21% |
| MARK TATTERSALL3 Filed as: MARK DOUGLAS TATTERSALL | 310 N. WESTLAKE BLVD., SUITE #240 WESTLAKE VILLAGE, CA 91362 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 23.73% |
| MARK TATTERSALL3 Filed as: MARK DOUGLAS TATTERSALL | 310 N. WESTLAKE BLVD., SUITE #240 WESTLAKE VILLAGE, CA 91362 | SAFEGUARD HEALTH PLANS, INC, | $783 | $1 | $784 | 9.28% |
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 | 212 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 212 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 87 | $1.3M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 275 | $118K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 275 | $110K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 191 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 275 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.