| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | HEALTH NET | $24K | — | $24K | 3.47% |
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | KAISER FOUNDATION HEALTH PLAN INC. | $26K | — | $26K | 4.38% |
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | PREMIER ACCESS INSURANCE COMPANY | $10K | — | $10K | 11.35% |
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $2K | $9K | 18.35% |
| WELL-PRO INSURANCE SOLUTIONS INC.3 | 9155 ARCHIBALD AVENUE, SUITE H RANCHO CUCAMONGA, CA 91730 | ALLSTATE | $13K | — | $13K | 38.05% |
| ELAINE E DAVIS3 | 188 POMONA AVENUE LONG BEACH, CA 90803 | ALLSTATE | $5K | — | $5K | 13.59% |
| MICHAEL R MANTONG3 | 4510 E PACIFIC COAST HWY, SUITE 340 LONG BEACH, CA 90804 | ALLSTATE | $963 | — | $963 | 2.72% |
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $341 | $6K | 15.97% |
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | VISION SERVICE PLAN | $1K | — | $1K | 5.73% |
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $319 | $2K | 17.22% |
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $403 | $2K | 18.71% |
| ALLIANT INSURANCE SERVICES, INC.3 | 735 EAST CARNEGIE DRIVE, SUITE 200 SAN BERNARDINO, CA 92408 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $43 | — | $43 | 3.99% |
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 | 221 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 222 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 183 | $1.3M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 165 | $92K |
| Vision | VISION SERVICE PLAN | 98 | $18K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 221 | $58K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 31 | $14K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 202 | $35K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH NET | 183 | $1.3M |
| Other(4 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 221 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 221 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.