| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC. | $40K | — | $40K | 4.14% |
| DAVID HERNANDEZ3 | 2239 W. 190TH STREET TORRANCE, CA 90504 | AFLAC | $1K | — | $1K | 8.11% |
| LAURA K. LYNCH3 | 117 PROSPECT AVENUE HERMOSA BEACH, CA 90254 | AFLAC | $678 | — | $678 | 5.38% |
| TAMI FUKUSHIMA3 | P.O. BOX 3757 BEVERLY HILLS, CA 90212 | AFLAC | $373 | — | $373 | 2.96% |
| CHARLES N. CRAVINGS JR3 | 1467 W. 49TH STREET LOS ANGELES, CA 90062 | AFLAC | $337 | — | $337 | 2.67% |
| JOSHUA STORM LEBEAU KIMPSON3 | 18325 MILMORE AVENUE CARSON, CA 90746 | AFLAC | $193 | — | $193 | 1.53% |
| CHRISTIE D'AMORE3 | 5372 E. APPIAN WAY LONG BEACH, CA 90803 | AFLAC | $117 | — | $117 | 0.93% |
| JASMINE SALAZAR3 | 2239 W. 190TH STREET TORRANCE, CA 90504 | AFLAC | $103 | — | $103 | 0.82% |
| CHARLES O'COPELAND3 | 1241 W. 81ST STREET LOS ANGELES, CA 90044 | AFLAC | $99 | — | $99 | 0.79% |
| TALHA ZAQUIR RAHMAN3 | 10973 PRESCOTT DRIVE FRISCO, TX 75033 | AFLAC | $98 | — | $98 | 0.78% |
| BRANDON TYLOR-DA SHIRLEY3 | 5110 S. SHERBOURNE DRIVE LOS ANGELES, CA 90056 | AFLAC | $14 | — | $14 | 0.11% |
| STEVEN R. JOHNSON3 | 2239 W. 190TH STREET TORRANCE, CA 90504 | AFLAC | $11 | — | $11 | 0.09% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $6 | — | $6 | 0.05% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $1 | — | $1 | 0.01% |
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 | 388 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 388 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 188 | $976K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 188 | $976K |
| Other | AFLAC | 22 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 188 | — |
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.