| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | PO BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN, INC. | $57K | — | $57K | 4.34% |
| DAVID HERNANDEZ3 | 2239 W 190TH ST TORRANCE, CA 90504 | AFLAC | $13K | $290 | $13K | 13.00% |
| CHARLES N. CRAVINGS JR3 Filed as: CHARLES CRAVINGS JR | 1467 W 49TH ST LOS ANGELES, CA 90062 | AFLAC | $10K | $323 | $10K | 10.50% |
| TAMMIE JOHNSON3 | 18427 STUDEBAKER RD APT 219 CARRITOS, CA 90703 | AFLAC | $6K | $184 | $6K | 6.40% |
| RUTH THOMPSON3 | 3605 LONG BEACH BLVD STE 400 LONG BEACH, CA 90807 | AFLAC | $5K | $3 | $5K | 4.90% |
| MS BENEFITS3 Filed as: MS BENEFITS LLC | 100 CHALLENGER RD STE 105 RIDGEFIELD PARK, NJ 07660 | AFLAC | $1K | — | $1K | 1.33% |
| SARAH ELLIN EDWARDS3 Filed as: SARAH EDWARDS | 5211 PACIFIC CONCOURSE DR APT 1254 LOS ANGELES, CA 90045 | AFLAC | $892 | $375 | $1K | 1.27% |
| CHARLES MOORE3 | 371 CHESTNUT ST APT D SAN FRANCISCO, CA 94133 | AFLAC | $1K | — | $1K | 1.21% |
| PETER GANCHEV BUDEVSKI3 Filed as: PETER BUDEVSKI | 2501 W REDONDO BEACH BLVD APT 232 GARDENA, CA 90249 | AFLAC | $1K | $136 | $1K | 1.20% |
| JUAN MARTINEZ3 | 10215 S 10TH AVE APT 3 INGLEWOOD, CA 90303 | AFLAC | $961 | $189 | $1K | 1.16% |
| ASHLEY ALLEN3 | 3505 ARTESIA BLVD APT 24 TORRANCE, CA 90504 | AFLAC | $1K | — | $1K | 1.02% |
| ANA FRANCIS CORDOVA3 Filed as: ANA CORDOVA | 23701 S WESTERN AVE SPC 124 TORRANCE, CA 90501 | AFLAC | $665 | $229 | $894 | 0.90% |
| LAURA K. LYNCH3 Filed as: LAURA LYNCH | 117 PROSPECT AVE HERMOSA BEACH, CA 90254 | AFLAC | $441 | $78 | $519 | 0.52% |
| BRANDON TYLOR-DA SHIRLEY3 Filed as: BRANDON SHIRLEY | 5110 S SHERBOURNE DR LOS ANGELES, CA 90056 | AFLAC | $229 | $80 | $309 | 0.31% |
| JASMINE SALAZAR3 | 2239 W 190TH ST TORRANCE, CA 90504 | AFLAC | $286 | $14 | $300 | 0.30% |
| MYKISHA L. THOMAS3 Filed as: MYKISHA BUTLER | 3886 3RD AVE LOS ANGELES, CA 90008 | AFLAC | $139 | $46 | $185 | 0.19% |
| TAMI FUKUSHIMA3 | PO BOX 3757 BEVERLY HILLS, CA 90212 | AFLAC | $76 | — | $76 | 0.08% |
| TALHA ZAQUIR RAHMAN3 Filed as: TALHA RAHMAN | 10973 PRESCOTT DR FRISCO, TX 75033 | AFLAC | $63 | — | $63 | 0.06% |
| CHRISTIE D'AMORE3 | 5372 E APPIAN WAY LONG BEACH, CA 90803 | AFLAC | $16 | — | $16 | 0.02% |
| STEVEN R. JOHNSON3 Filed as: STEVEN JOHNSON | 2239 W 190TH ST TORRANCE, CA 90504 | AFLAC | $4 | — | $4 | 0.00% |
| CHARLES O'COPELAND3 | 1241 W 81ST ST LOS ANGELES, CA 90044 | AFLAC | $4 | — | $4 | 0.00% |
| ADAM H MICHAELS3 Filed as: ADAM MICHAELS | 2922 CORDA LN LOS ANGELES, CA 90049 | AFLAC | $2 | — | $2 | 0.00% |
| CHRISTOPHER HAGER3 | 44 COLONIAL DR RANCHO MIRAGE, CA 92270 | AFLAC | $1 | — | $1 | 0.00% |
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 | 214 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 214 | $1.4M |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 214 | $1.3M |
| Other | AFLAC | 171 | $99K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.