| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP, INC. | 4165 EAST THOUSAND OAKS BOULEVARD SUITE 325 WESTLAKE VILLAGE, CA 91362 | KAISER FOUNDATION HEALTH PLAN INC | $13K | — | $13K | 5.31% |
| NIELSEN BENEFITS GROUP3 | 4165 EAST THOUSAND OAKS BOULEVARD SUITE 325 WESTLAKE VILLAGE, CA 91362 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $12K | — | $12K | 9.93% |
| NIELSEN BENEFITS GROUP3 | 4165 EAST THOUSAND OAKS BOULEVARD SUITE 325 WESTLAKE VILLAGE, CA 91362 | CIGNA DENTAL HEALTH OF CALIFORNIA, INC. | $1K | — | $1K | 10.00% |
| INSGROUP INC3 Filed as: NIELSEN INSURANCE GROUP AKA NIELSEN | 4165 EAST THOUSAND OAKS BOULEVARD #325 WESTLAKE VILLAGE, CA 91362 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $591 | $158 | $749 | 19.01% |
| INSGROUP INC3 Filed as: NIELSEN INSURANCE GROUP AKA NIELSEN | 4165 EAST THOUSAND OAKS BOULEVARD #325 WESTLAKE VILLAGE, CA 91362 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $588 | $157 | $745 | 19.02% |
| INSGROUP INC3 Filed as: NIELSEN INSURANCE GROUP AKA NIELSEN | 4165 EAST THOUSAND OAKS BOULEVARD #325 WESTLAKE VILLAGE, CA 91362 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $152 | — | $152 | 15.02% |
| INSGROUP INC3 Filed as: NIELSEN INSURANCE GROUP AKA NIELSEN | 4165 EAST THOUSAND OAKS BOULEVARD #325 WESTLAKE VILLIAGE, CA 91362 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $69 | $19 | $88 | 19.01% |
| NIELSEN BENEFITS GROUP3 | 4165 EAST THOUSAND OAKS BOULEVARD SUITE 325 WESTLAKE VILLAGE, CA 91362 | CIGNA DENTAL HEALTH OF FLORIDA, INC. | $10 | — | $10 | 9.90% |
| NIELSEN BENEFITS GROUP3 | 4165 EAST THOUSAND OAKS BOULEVARD SUITE 325 WESTLAKE VILLAGE, CA 91362 | CIGNA DENTAL HEALTH OF COLORADO, INC. | $8 | — | $8 | 10.53% |
| NIELSEN BENEFITS GROUP3 | 4165 EAST THOUSAND OAKS BOULEVARD SUITE 325 WESTLAKE VILLAGE, CA 91362 | CIGNA DENTAL HEALTH OF VIRGINIA, INC. | $3 | — | $3 | 12.00% |
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 | 185 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AMERICAN NATIONAL LIFE INSURANCE COMPANY OF TEXAS | 145 | $720K |
| Dental(5 contracts, 5 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 164 | $137K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 164 | $123K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 22 | $4K |
| Other(5 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 100 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.