| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TINA YOONJUNG KIM3 | 15778 AGAVE AVENUE CHINO, CA 91708 | KAISER FOUNDATION HEALTH PLAN INC. | $39K | — | $39K | 4.06% |
| DAVID HERNANDEZ3 | 3848 W. CARSON STREET SUITE 110 TORRANCE, CA 90503 | AFLAC | $2K | $115 | $2K | 21.74% |
| ABEL A. DELUNA3 | 3848 W. CARSON STREET SUITE 110 TORRANCCE, CA 90503 | AFLAC | $603 | $63 | $666 | 6.91% |
| CHRISTIAN A. CULLINAN3 | 11501 HATTERAS STREET UNIT 5 NORTH HOLLYWOOD, CA 91601 | AFLAC | $383 | — | $383 | 3.97% |
| STEVEN R. JOHNSON3 | 6167 BRISTOL PARKWAY SUITE 106 CULVER CITY, CA 90230 | AFLAC | $201 | $30 | $231 | 2.40% |
| TALHA ZAQUIR RAHMAN3 | 3848 W. CARSON STREET SUITE 110 TORRANCE, CA 90503 | AFLAC | $155 | — | $155 | 1.61% |
| STEPHANIE M. GALLOWAY3 | 1923 BELMONT LANE SUITE A REDONDO BEACH, CA 90278 | AFLAC | $42 | — | $42 | 0.44% |
| ABEL A. DELUNA3 | 1270 W. 39TH STREET APT. 5 LOS ANGELES, CA 90037 | AFLAC | $30 | — | $30 | 0.31% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $11 | — | $11 | 0.11% |
| LIZET BARBA3 | 4836 W. 123RD STREET HAWTHORNE, CA 90250 | AFLAC | $10 | — | $10 | 0.10% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $4 | — | $4 | 0.04% |
| MICHAEL C WALKER3 Filed as: MICHAEL A. STACHOWIAK | 321 N. CLARK STREET SUITE 625 CHICAGO, IL 60654 | AFLAC | $3 | — | $3 | 0.03% |
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 | 173 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 215 | $957K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 215 | $957K |
| Other | AFLAC | 29 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 215 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.