| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GOOD FRIEND INSURANCE SERVICES LLC3 | 3530 WILSHIRE BLVD. SUITE 1285 LOS ANGELES, CA 90010 | KAISER FOUNDATION HEALTH PLAN INC. | $37K | — | $37K | 4.33% |
| STEPHANIE M. GALLOWAY3 | 123 BELMONT LANE SUITE A REDONDO BEACH, CA 90278 | AFLAC | $408 | $17 | $425 | 13.18% |
| DAVID HERNANDEZ3 | 3848 W. CARSON STREET SUITE 110 TORRANCE, CA 90503 | AFLAC | $289 | $35 | $324 | 10.05% |
| LIZET BARBA3 | 4836 W. 123RD STREET HAWTHORNE, CA 90250 | AFLAC | $200 | — | $200 | 6.20% |
| STEVEN R. JOHNSON3 | 6167 BRISTOL PARKWAY SUITE 106 CULVER CITY, CA 90230 | AFLAC | $120 | $14 | $134 | 4.16% |
| IRANA GOMEZ3 | 1721 AVIATION BLVD. APT. 45 REDONDO BEACH, CA 90278 | AFLAC | $69 | $10 | $79 | 2.45% |
| KEISUKE SHAWN KASAMA3 | 1825 ALINGTON AVENUE TORRANCE, CA 90501 | AFLAC | $62 | — | $62 | 1.92% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $40 | $14 | $54 | 1.67% |
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 | 174 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 206 | $862K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 206 | $862K |
| Other | AFLAC | 10 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 206 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.