| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 320 W. 57TH STREET NEW YORK, NY 10019 | KAISER FOUNDATION HEALTH PLAN INC. | $189K | — | $189K | 5.75% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS. & FINANCIAL SVCS. | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | $2K | $8K | 1.83% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 320 W. 57TH STREET, FLOOR 3 NEW YORK, NY 10019 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $703 | $3K | 0.67% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | METROPOLITAN LIFE INSURANCE COMPANY | -$13 | — | -$13 | -0.00% |
| DOVI PLATTNER LIFE INS. SVCS.3 | 9742 KIRKSIDE ROAD LOS ANGELES, CA 90035 | METROPOLITAN LIFE INSURANCE COMPANY | -$41 | — | -$41 | -0.01% |
| VARIOUS - SEE ATTACHED3 | C/O AFLAC 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $88K | $636 | $88K | 46.41% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 1125 SANCTUARY PKWY., SUITE 300 ATANTA, GA 30009 | HARTFORD LIFE AND ACCIDENT | $14K | — | $14K | 15.17% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | HARTFORD LIFE AND ACCIDENT | — | $1K | $1K | 1.45% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 320 WEST 57TH STREET, 3RD FLOOR NEW YORK, NY 10019 | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED VISION CARE) | $3K | — | $3K | 9.06% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 320 W. 57TH STREET, FLOOR 3 NEW YORK, NY 10019 | SAFEGUARD HEALTH PLANS, INC. | $736 | $214 | $950 | 5.65% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS. | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | SAFEGUARD HEALTH PLANS, INC. | $575 | $100 | $675 | 4.01% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 320 W. 57TH STREET, FLOOR 3 NEW YORK, NY 10019 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $439 | $10K | 57.24% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $313 | $4K | 25.66% |
| DOVI PLATTNER LIFE INS. SVCS.3 Filed as: DOVI PLATTER LIFE INS. SVCS. | 9742 KIRKSIDE ROAD LOS ANGELES, CA 90035 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 16.09% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS. | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $94 | $1K | 7.10% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $162 | $9K | 78.61% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 320 W. 57TH STREET, FLOOR 3 NEW YORK, NY 10019 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $363 | $8K | 68.90% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE AND FIN. SVCS | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $57 | $2K | 13.35% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 320 W. 57TH STREET, FLOOR 3 NEW YORK, NY 10019 | HYATT LEGAL PLANS | $450 | — | $450 | 10.64% |
| BENEFITMALL3 | 9743 CRESTA DRIVE LOS ANGELES, CA 90035 | HYATT LEGAL PLANS | -$457 | — | -$457 | -10.80% |
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 | 542 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 542 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 630 | $3.3M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 592 | $452K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED VISION CARE) | 597 | $29K |
| Life insurance(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 592 | $717K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 542 | $281K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 542 | $91K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 630 | $3.3M |
| Other(6 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 592 | $749K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 630 | — |
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.