| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITS AMERICA INSURANCE SERVICES3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | AETNA HEALTH, INC. | $19K | — | $19K | 2.27% |
| JOHN M. GILMOUR, INC.3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | AETNA HEALTH, INC. | $6K | — | $6K | 0.69% |
| JOHN M. GILMOUR, INC.3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | KAISER PERMANENTE | $13K | — | $13K | 2.45% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | KAISER PERMANENTE | $9K | — | $9K | 1.65% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | AETNA LIFE INSURANCE CO. | $10K | $5K | $15K | 3.11% |
| JOHN M. GILMOUR, INC.3 | 300 W GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 0.71% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | UNITED CONCORDIA INSURANCE COMPANY | $10K | — | $10K | 8.36% |
| JOHN M. GILMOUR, INC.3 | 300 W GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | UNITED CONCORDIA INSURANCE COMPANY | $1K | — | $1K | 0.83% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 10.00% |
| JOHN M. GILMOUR, INC.3 | 300 W GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | TRANSAMERICA LIFE INSURANCE COMPANY | $5K | — | $5K | 7.89% |
| ADVANCED LTC INSURANCE SERVICES3 | 425 W BROADWAY SUITE 205 GLENDALE, CA 91204 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 4.67% |
| LEISURE WERDEN & TERRY AGENCY3 | 200 S LOS ROBLES 200 PASADENA, CA 91101 | TRANSAMERICA LIFE INSURANCE COMPANY | $869 | — | $869 | 1.43% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | $648 | — | $648 | 8.31% |
| JOHN M. GILMOUR, INC.3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | $66 | — | $66 | 0.85% |
| JOHN M. GILMOUR, INC.3 | 300 W GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $213 | — | $213 | 15.02% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVE SUITE 1100 CHICAGO, IL 606036115 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $65 | $65 | 4.58% |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 146 | $488K |
| Dental(2 contracts, 2 carriers) | UNITED CONCORDIA INSURANCE COMPANY | 116 | $129K |
| Vision | AETNA LIFE INSURANCE CO. | 146 | $488K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 168 | $86K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 168 | $86K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 168 | $86K |
| Prescription drug(3 contracts, 3 carriers) | AETNA HEALTH, INC. | 146 | $1.9M |
| Other(2 contracts, 2 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 180 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 180 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.