| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ONE BENEFIT SOURCE3 | 8383 WILSHIRE BOULEVARD SUITE 800 BEVERLY HILLS, CA 90211 | HEALTH NET | $65K | — | $65K | 5.00% |
| BARBARA FLAHERTY3 | 444 N LARCHMONT BOULEVARD SUITE 101 LOS ANGELES, CA 90004 | KAISER PERMANENTE | $42K | $0 | $42K | 4.97% |
| ONE BENEFIT SOURCE3 | 8383 WILSHIRE BOULEVARD SUITE 800 BEVERLY HILLS, CA 90211 | KAISER PERMANENTE | $8K | $0 | $8K | 0.98% |
| ONE BENEFIT SOURCE3 | 8383 WILSHIRE BOULEVARD SUITE 800 BEVERLY HILLS, CA 90211 | METROPOLITAN LIFE INSURANCE COMPANY | $24K | $0 | $24K | 9.31% |
| ROGERS BENEFIT GROUP INC3 | 2502 N ROCKY POINT DRIVE SUITE 310 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $3K | $16K | 6.19% |
| ONE BENEFIT SOURCE3 | 8383 WILSHIRE BOULEVARD SUITE 800 BEVERLY HILLS, CA 90211 | METROPOLITAN LIFE INSURANCE CMPANY | $2K | $0 | $2K | 21.67% |
| ROGERS BENEFIT GROUP INC Filed as: ROGERS BENEFIT GROIP INC | 2502 NO. ROCKY POINT DRIVE SUITE 310 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE CMPANY | $386 | $135 | $521 | 7.32% |
| ONE BENEFIT SOURCE3 | 8383 WILSHIRE BOULEVARD SITE 800 BEVERLY HILLS, CA 90211 | SAFEGAURD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $516 | $0 | $516 | 9.93% |
| ROGERS BENEFIT GROUP INC3 | 2502 N ROCKY POINT DRIVE SUITE 310 TAMPA, FL 33607 | SAFEGAURD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $258 | $65 | $323 | 6.22% |
| ONE BENEFIT SOURCE0 | 8383 WILSHIRE BOULEVARD SUITE 800 LOS ANGELES, CA 90211 | METROPOLITAN LIFE INSSURANCE COMPANY | $738 | $0 | $738 | 21.65% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP | 2502 NO. ROCKY POINT DRIVE SUITE 310 TAMPA, FL 33607 | METROPOLITAN LIFE INSSURANCE COMPANY | $185 | $65 | $250 | 7.34% |
| ONE BENEFIT SOURCE3 | 8383 WILSHIRE BOULEVARD SUITE 800 BEVERLY HILLS, CA 90211 | METROPOLITAN LIFE INSURANCE COMPANY | $454 | $0 | $454 | 21.69% |
| ROGERS BENEFIT GROUP INC3 | 2502 N ROCKY POINT DRIVE SUITE 310 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | $113 | $40 | $153 | 7.31% |
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 | 300 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | METROPOLITAN LIFE INSURANCE COMPANY | 34 | $2K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 300 | $264K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 300 | $258K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 300 | $258K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 300 | $258K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 300 | $258K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 300 | — |
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.