| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LIBERTY COMPANY INSURANCE BROKERS3 | 5955 DE SOTO AVE STE 250 WOODLAND HILLS, CA 91367 | CALIFORNIA PHYSICIANS SERVICE | $0 | $47K | $47K | 2.16% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP. | 5530 TRABULCO RD IRVINE, CA 92620 | CALIFORNIA PHYSICIANS SERVICE | $0 | $37K | $37K | 1.71% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | 500 N SANTA FE VISALIA, CA 93292 | CALIFORNIA PHYSICIANS SERVICE | $0 | $30K | $30K | 1.38% |
| LIBERTY FINANCIAL SERVICES3 Filed as: THE LIBERTY COMPANY INSURANCE BROKE | — | UNITED CONCORDIA INSURANCE COMPANY | $4K | $0 | $4K | 4.29% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP | — | UNITED CONCORDIA INSURANCE COMPANY | $3K | $0 | $3K | 3.42% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALLAGHER & CO | — | UNITED CONCORDIA INSURANCE COMPANY | $2K | $0 | $2K | 2.51% |
| FOUNDATION RISK PARTNERS CORP3 | THE CITY DRIVE SOUTH STE 790 ORANGE, CA 92868 | VISION SERVICE PLAN | $727 | $0 | $727 | 2.52% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 95287 CHICAGO, IL 60694 | VISION SERVICE PLAN | $617 | $0 | $617 | 2.14% |
| LIBERTY FINANCIAL SERVICES3 Filed as: THE LIBERTY COMPANY INSURANCE BROKE | 5955 DE SOTO AVE STE 250 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $419 | $0 | $419 | 1.45% |
| ENROLLEASE3 Filed as: ENROLLEASE, INC DBA EASECENTRA | 1980 FESTIVAL PLAZA DR STE 810 LAS VEGAS, NV 89135 | VISION SERVICE PLAN | $267 | $0 | $267 | 0.93% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 5955 DE SOTO AVE STE 250 WOODLAND HILLS, CA 91367 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $0 | $1K | 4.29% |
| MILLENIUM CORPORATE SOLUTIONS3 Filed as: MILLENIUM CORPORATE SOLUTIONS LLC | 5530 TRABULCO RD IRVINE, CA 92620 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $835 | $0 | $835 | 3.38% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $724 | $724 | 2.93% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 505 N BRAND BLVD FL 6 GLENDALE, CA 91203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $576 | $0 | $576 | 2.33% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 5955 DE SOTO AVE STE 250 WOODLAND HILLS, CA 91367 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $801 | $0 | $801 | 4.28% |
| MILLENIUM CORPORATE SOLUTIONS3 | 5530 TRABULCO RD IRVINE, CA 92620 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $631 | $0 | $631 | 3.37% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $556 | $556 | 2.97% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 505 N BRAND BLVD FL 6 GLENDALE, CA 91203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $438 | $0 | $438 | 2.34% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 5955 DE SOTO AVE STE 250 WOODLAND HILLS, CA 91367 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $454 | $0 | $454 | 4.13% |
| MILLENIUM CORPORATE SOLUTIONS3 Filed as: MILLENIUM CORPORATE SOLUTIONS LLC | 5530 TRABULCO RD IRVINE, CA 92620 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $360 | $0 | $360 | 3.28% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $324 | $324 | 2.95% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 505 N BRAND BLVD FL 6 GLENDALE, CA 91203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $284 | $0 | $284 | 2.59% |
| LIBERTY COMPANY INSURANCE BROKERS3 | 5955 DE SOTO AVE STE 250 WOODLAND HILLS, CA 91367 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $469 | $0 | $469 | 4.45% |
| MILLENIUM CORPORATE SOLUTIONS3 Filed as: MILLENIUM CORPORATE SOLUTIONS LLC | 5530 TRABULCO RD IRVINE, CA 92620 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $372 | $0 | $372 | 3.53% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $330 | $330 | 3.13% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 505 N BRAND BLVD FL 6 GLENDALE, CA 91203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $214 | $0 | $214 | 2.03% |
| LIBERTY COMPANY INSURANCE BROKERS3 Filed as: LIBERTY COMPANY INSURANCE BROKERS, | 5955 DE SOTO AVE STE 250 WOODLAND HILLS, CA 91367 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $399 | $0 | $399 | 3.96% |
| MILLENNIUM CORPORATE SOLUTIONS3 Filed as: MILLENNIUM CORPORATE SOLUTIONS LLC | 5530 TRABULCO RD IRVINE, CA 92620 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $317 | $0 | $317 | 3.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | 505 N BRAND BLVD FL 6 GLENDALE, CA 91203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $292 | $0 | $292 | 2.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $252 | $252 | 2.50% |
| LIBERTY COMPANY INSURANCE BROKERS3 Filed as: LIBERTY COMPANY INSURANCE BROKERS, | 5955 DE SOTO AVE STE 250 WOODLAND HILLS, CA 91367 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $344 | $0 | $344 | 4.04% |
| MILLENIUM CORPORATE SOLUTIONS3 Filed as: MILLENIUM CORPORATE SOLUTIONS LLC | 5530 TRABULCO RD IRVINE, CA 92620 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $261 | $0 | $261 | 3.07% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | 505 N BRAND BLVD FL 6 GLENDALE, CA 91203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $247 | $0 | $247 | 2.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | NATIONAL INCENTIVE 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $230 | $230 | 2.70% |
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 | 180 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS SERVICE | 236 | $2.2M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 153 | $95K |
| Vision | VISION SERVICE PLAN | 177 | $29K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $35K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 44 | $11K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $19K |
| Prescription drug | CALIFORNIA PHYSICIANS SERVICE | 236 | $2.2M |
| Other(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 199 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 236 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.