| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NTH INSURANCE AGENCY INC.3 Filed as: NTH INSURANCE AGENCY, INC. | 10833 VALLEY VIEW STREET SUITE 550 CYPRESS, CA 90630 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $8K | $0 | $8K | 2.70% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN ST 21ST FLOOR SAN FRANCISCO, CA 94105 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $798 | $4K | 7.26% |
| NTH INSURANCE AGENCY INC.3 Filed as: NTH INSURANCE AGENCY INC | 10833 VALLEY VIEW ST STE 5500 CYPRESS, CA 90630 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $582 | $0 | $582 | 1.13% |
| EPIC3 Filed as: EPIC FINANCIAL INSURANCE SERVICES | 269 S. LORRAINE BLVD LOS ANGELES, CA 90004 | STARMOUNT LIFE INSURANCE COMPANY | $4K | $0 | $4K | 9.74% |
| NTH INSURANCE AGENCY INC.3 Filed as: NTH INSURANCE AGENCY INC | 10833 VALLEY VIEW ST STE 5500 CYPRESS, CA 90630 | STARMOUNT LIFE INSURANCE COMPANY | $1K | $0 | $1K | 2.43% |
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 | 446 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 449 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 402 | $286K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 388 | $41K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 537 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 537 | — |
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.