| 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. | $181K | — | $181K | 5.91% |
| 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 | $9K | 2.04% |
| 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 | — | $84 | $84 | 0.02% |
| VARIOUS - SEE ATTACHED3 | C/O AFLAC 1932 WYNNTON ROAD COLUMBUS, GA 31999 | AFLAC | $35K | $11K | $46K | 24.42% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 1125 SANCTUARY PKWY., SUITE 300 ATANTA, GA 30009 | HARTFORD LIFE AND ACCIDENT | $16K | — | $16K | 12.65% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | HARTFORD LIFE AND ACCIDENT | — | $2K | $2K | 1.93% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 320 WEST 57TH STREET, 3RD FLOOR NEW YORK, NY 10019 | EYEMED VISION CARE | $3K | — | $3K | 10.91% |
| 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. | $851 | $225 | $1K | 6.76% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS. | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | SAFEGUARD HEALTH PLANS, INC. | $681 | $90 | $771 | 4.85% |
| 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 | $3K | $272 | $3K | 28.94% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS. | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | METROPOLITAN LIFE INSURANCE COMPANY | $789 | $85 | $874 | 8.90% |
| 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 | $4K | $243 | $4K | 44.88% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE AND FIN. SVCS | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | METROPOLITAN LIFE INSURANCE COMPANY | $651 | $70 | $721 | 7.70% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | METROPOLITAN LIFE INSURANCE COMPANY | $11 | $6 | $17 | 0.18% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 320 W. 57TH STREET, FLOOR 3 NEW YORK, NY 10019 | METLIFE LEGAL PLANS | $286 | $41 | $327 | 10.45% |
| BENEFITMALL3 | 9743 CRESTA DRIVE LOS ANGELES, CA 90035 | METLIFE LEGAL PLANS | $59 | — | $59 | 1.89% |
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 | 587 | 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) | 587 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 701 | $3.1M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 631 | $440K |
| Vision | EYEMED VISION CARE | 640 | $30K |
| Life insurance(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 631 | $734K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 587 | $311K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 587 | $124K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 701 | $3.1M |
| Other(6 contracts, 4 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 631 | $757K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 701 | — |
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.