| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NEW CENTURY INSURANCE SERVICES3 Filed as: NEW CENTURY INS SERVICES | 16 N. SECOND ST ALHAMBRA, CA 91801 | BLUE CROSS OF CALIFORNIA (G0200) | $137K | — | $137K | 4.30% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA RD WESTLAKE VILLAGE, CA 91361 | BLUE CROSS OF CALIFORNIA (G0200) | — | $74K | $74K | 2.31% |
| ASSURED MANAGEMENT INSURANCE SERVIC3 | 998 FOURTH GREEN DR INCLINE VILLAGE, NV 89451 | BLUE CROSS OF CALIFORNIA (G0200) | $26K | — | $26K | 0.81% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALAGHER CO INSURANCE | 7910 N INGRAM FRESNO, CA 93711 | BLUE CROSS OF CALIFORNIA (G0200) | $0 | — | $0 | 0.00% |
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 | 508 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 508 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA (G0200) | 508 | $3.2M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (G0360) | 525 | $454K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (G0360) | 525 | $55K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (G0360) | 600 | $15K |
| Other | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (G0360) | 600 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 600 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.