| 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. | $36K | — | $36K | 4.39% |
| DAVID HERNANDEZ3 | 3848 W. CARSON STREET SUITE 110 TORRANCE, CA 90503 | AFLAC | $783 | $2 | $785 | 15.21% |
| ABEL A. DELUNA3 | 3848 W. CARSON STREET SUITE 110 TORRANCCE, CA 90503 | AFLAC | $284 | — | $284 | 5.50% |
| STEPHANIE M. GALLOWAY3 | 123 BELMONT LANE SUITE A REDONDO BEACH, CA 90278 | AFLAC | $238 | $6 | $244 | 4.73% |
| LIZET BARBA3 | 4836 W. 123RD STREET HAWTHORNE, CA 90250 | AFLAC | $189 | $3 | $192 | 3.72% |
| STEVEN R. JOHNSON3 | 6167 BRISTOL PARKWAY SUITE 106 CULVER CITY, CA 90230 | AFLAC | $188 | $2 | $190 | 3.68% |
| KEISUKE SHAWN KASAMA3 | 1825 ALINGTON AVENUE TORRANCE, CA 90501 | AFLAC | $75 | — | $75 | 1.45% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $10 | — | $10 | 0.19% |
| IRANA GOMEZ3 | 1721 AVIATION BLVD. APT. 45 REDONDO BEACH, CA 90278 | AFLAC | $4 | — | $4 | 0.08% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $1 | — | $1 | 0.02% |
| MICHAEL C WALKER3 Filed as: MICHAEL A. STACHOWIAK | 321 N. CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $1 | — | $1 | 0.02% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 197 | $809K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 197 | $809K |
| Other | AFLAC | 19 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 197 | — |
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.