| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITS AMERICA INSURANCE SERVICES3 | 1800 QUAIL STREET, SUITE 110 NEWPORT BEACH, CA 92660 | KAISER FOUNDATION HEALTH PLAN INC | $35K | $0 | $35K | 5.40% |
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE WOODLAND HILLS, CA 91367 | AETNA LIFE INSURANCE COMPANY | $24K | $0 | $24K | 4.15% |
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE WOODLAND HILLS, CA 91367 | AETNA HEALTH, INC. | $10K | $0 | $10K | 3.01% |
| MJ INSURANCE3 Filed as: RENEE CORSO AND VARIOUS AGENTS | 5805 SEPULVEDA BOULEVARD, SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $2K | $29 | $2K | 4.48% |
| MICHELLE DERAS3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $1K | $98 | $2K | 3.30% |
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE, 12TH FLOOR WOODLAND HILLS, CA 91367 | AFLAC | $836 | $0 | $836 | 1.77% |
| BETTY MURDOCK3 | 7216 TESSERA PARKWAY LAGO VISTA, TX 78645 | AFLAC | $781 | $25 | $806 | 1.71% |
| STANTON HUNTON3 | 2516 VIA TEJON, SUITE 307 PALOS VERDES ESTATES, CA 90274 | AFLAC | $471 | $0 | $471 | 1.00% |
| RUBEN ROSA3 | 5307 SEPULVEDA BOULEVARD, SUITE 118 SHERMAN OAKS, CA 91411 | AFLAC | $379 | $20 | $399 | 0.85% |
| MOISES VILLALOBOS3 | 6122 WOODLAWN AVENUE MAYWOOD, CA 90270 | AFLAC | $379 | $0 | $379 | 0.80% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 1800 QUAIL STREET, SUITE 110 NEWPORT BEACH, CA 92660 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $756 | $4K | 10.50% |
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 | 167 | 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) | 167 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 244 | $1.6M |
| Dental | AETNA LIFE INSURANCE COMPANY | 244 | $587K |
| Vision | AETNA LIFE INSURANCE COMPANY | 244 | $587K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 167 | $37K |
| Short-term disability | AFLAC | 62 | $47K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 167 | $37K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 244 | $1.6M |
| Other(2 contracts, 2 carriers) | AFLAC | 167 | $85K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 244 | — |
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.