| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCE OFFICE OF AMERICA3 Filed as: INSURANCE OFFICE OF AMERICA INC | 1855 WEST STATE RD 434 LONGWOOD, FL 32750 | CIGNA HEALTH AND LIFE INSURANCE COMPANY & AFFILIATES | $52K | $4K | $56K | 5.38% |
| IOA - INSURANCE OFFICE OF AMERICA3 Filed as: IOA | 3281 E GUASTI RD SUITE 400 ONTARIO, CA 91761 | LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 10.00% |
| IOA - INSURANCE OFFICE OF AMERICA3 Filed as: IOA | 3281 E GUASTI RD SUITE 400 ONTARIO, CA 91761 | LIFE INSURANCE COMPANY OF AMERICA | $844 | — | $844 | 10.01% |
| IOA - INSURANCE OFFICE OF AMERICA3 Filed as: IOA | 3281 E GUASTI RD SUITE 400 ONTARIO, CA 91761 | LIFE INSURANCE COMPANY OF AMERICA | $397 | — | $397 | 9.99% |
| IOA - INSURANCE OFFICE OF AMERICA3 Filed as: IOA | 3281 E GUASTI RD SUITE 400 ONTARIO, CA 91761 | LIFE INSURANCE COMPANY OF AMERICA | $341 | — | $341 | 10.01% |
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 | 103 | 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) | 104 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY & AFFILIATES | 88 | $1.0M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY & AFFILIATES | 88 | $1.0M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY & AFFILIATES | 88 | $1.0M |
| Life insurance | LIFE INSURANCE COMPANY OF AMERICA | 107 | $34K |
| Short-term disability | LIFE INSURANCE COMPANY OF AMERICA | 107 | $3K |
| Long-term disability | LIFE INSURANCE COMPANY OF AMERICA | 107 | $8K |
| Other | LIFE INSURANCE COMPANY OF AMERICA | 107 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 107 | — |
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.