| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVID BRECHER3 | 6300 WILSHIRE BLVD STE 2200 LOS ANGELES, CA 90048 | KAISER FOUNDATION HEALTH PLAN INC | $41K | — | $41K | 4.56% |
| DAVID BRECHER3 Filed as: DAVID ALAN BRECHER | 6300 WILSHIRE BLVD. STE. 2200 LOS ANGELES, CA 90048 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 4.33% |
| DAVID BRECHER3 Filed as: DAVID ALAN BRECHER | 6300 WILSHIRE BLVD STE 2200 LOS ANGELES, CA 90048 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 13.20% |
| DAVID RUSHMORE3 Filed as: DAVID ALLEN BRECHER | 6300 WILSHIRE BLVD. STE 2200 LOS ANGELES, CA 92705 | CALIFORNIA DENTAL NETWORK, INC. | $608 | — | $608 | 10.00% |
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 | 186 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 186 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 186 | $899K |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 97 | $104K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 79 | $45K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 79 | $45K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 79 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 186 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.