| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE, 12TH FLOOR WOODLAND HILLS, CA 91367 | METROPOLITAN LIFE INSURANCE COMPANY | $51K | — | $51K | 5.44% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | METROPOLITAN LIFE INSURANCE COMPANY | $33K | — | $33K | 3.47% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 23716 BIRTCHER DRIVE LAKE FOREST, CA 92630 | METROPOLITAN LIFE INSURANCE COMPANY | $21K | $3K | $24K | 2.54% |
| DANIEL MACLELLAN3 | P.O. BOX 58434 NASHVILLE, TN 37205 | METROPOLITAN LIFE INSURANCE COMPANY | -$196 | — | -$196 | -0.02% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | KAISER FOUNDATION HEALTH PLAN INC. | $19K | — | $19K | 3.31% |
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE, 12TH FLOOR WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLAN INC. | $9K | — | $9K | 1.64% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | KAISER FOUNDATION HEALTH PLAN INC. | $7K | — | $7K | 3.28% |
| VENGROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE, 12TH FLOOR WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLAN INC. | $4K | — | $4K | 1.67% |
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE, 12TH FLOOR WOODLAND HILLS, CA 91367 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 11.76% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | — | $8K | 9.22% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 23716 BIRTCHER DRIVE LAKE FOREST, CA 92630 | METROPOLITAN LIFE INSURANCE COMPANY | $3 | $282 | $285 | 0.34% |
| DANIEL MACLELLAN3 | P.O. BOX 58434 NASHVILLE, TN 37205 | METROPOLITAN LIFE INSURANCE COMPANY | -$233 | — | -$233 | -0.28% |
| DANIEL MACLELLAN3 | P.O. BOX 58434 NASHVILLE, TN 37205 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 4.87% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 4.06% |
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE, 12TH FLOOR WOODLAND HILLS, CA 91367 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 2.70% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 23716 BIRTCHER DRIVE LAKE FOREST, CA 92630 | METROPOLITAN LIFE INSURANCE COMPANY | $17 | $97 | $114 | 0.15% |
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE, 12TH FLOOR WOODLAND HILLS, CA 91367 | SAFEGUARD HEALTH PLANS, INC. | $7K | — | $7K | 14.21% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 23716 BIRTCHER DRIVE LAKE FOREST, CA 92630 | SAFEGUARD HEALTH PLANS, INC. | — | -$140 | -$140 | -0.29% |
| VENBROOK INSURANCE SERVICES3 | 6320 CANOGA AVENUE, 12TH FLOOR WOODLAND HILLS, CA 91367 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 12.52% |
| ASSURANCE AGENCY LTD3 Filed as: INFINITY ASSURANCE GROUP | 111 CORPORATE DRIVE LADERA RANCH, CA 92694 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 8.62% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 23716 BIRTCHER DRIVE LAKE FOREST, CA 92630 | METROPOLITAN LIFE INSURANCE COMPANY | — | $139 | $139 | 0.32% |
| DANIEL MACLELLAN3 | P.O. BOX 58434 NASHVILLE, TN 37205 | METROPOLITAN LIFE INSURANCE COMPANY | -$141 | — | -$141 | -0.33% |
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 | 1,078 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,083 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 467 | $993K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 2,156 | $989K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 2,156 | $941K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 2,156 | $941K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 2,156 | $941K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 2,156 | $941K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 52 | $790K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 2,156 | $941K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,156 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.