| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NAVID JANNATIPOUR3 | 1464 PALISADES DRIVE PACIFIC PALISADES, CA 90272 | UNITEDHEALTHCARE INSURANCE COMPANY | $33K | $0 | $33K | 2.23% |
| USI INSURANCE SERVICES LLC3 | 600 3RD AVENUE, FRONT 3 NEW YORK, NY 10016 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | $0 | $7K | 0.46% |
| NAVALI AND COMPANY INC3 | 19200 VON KARMAN AVENUE SUITE 600 IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN, INC. | $30K | $0 | $30K | 3.25% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | KAISER FOUNDATION HEALTH PLAN, INC. | $10K | $0 | $10K | 1.08% |
| NAVID JANNATIPOUR3 | 11601 WILSHIRE BOULEVARD, SUITE 500 LOS ANGELES, CA 90025 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | $0 | $10K | 8.99% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62939 VIRGINIA BEACH, VA 23466 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.93% |
| NAVALI AND COMPANY INC3 | 19200 VON KARMAN AVENUE SUITE 600 IRVINE, CA 92612 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $0 | $9K | 9.95% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62939 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $997 | $3K | 3.66% |
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 | 143 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 313 | $2.4M |
| Dental(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 313 | $1.6M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 313 | $1.5M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 276 | $88K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 276 | $88K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 276 | $88K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 276 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 313 | — |
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."
No prospect flags tripped on this filing.