| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BR BENEFITS & INSURANCE SVCS.3 | 23679 CALABASAS ROAD, SUITE 378 CALABASAS, CA 91302 | UNITED HEALTHCARE INSURANCE COMPANY | $207K | — | $207K | 5.54% |
| BIJAN NOORI CORPORATION3 | 20671 PORTER RANCH RD TRABUCO CANYON, CA 92679 | UNITED HEALTHCARE INSURANCE COMPANY | $663 | — | $663 | 0.02% |
| BR BENEFITS & INSURANCE SVCS, INC.3 | 23675 PARK SEVILLA CALABASAS, CA 91302 | UNITED HEALTHCARE INSURANCE COMPANY | $71K | — | $71K | 14.30% |
| JONATHAN MATHEW RUDNICK3 | 23679 CALABASAS ROAD, SUITE 378 CALABASAS, CA 91302 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $949 | — | $949 | 2.96% |
| VARIOUS - SEE ATTACHMENT3 | C/O COLONIAL PO BOX 1365 COLUMBIA, SC 29202 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $37 | $1K | 56.38% |
| VARIOUS - SEE ATTACHMENT3 | C/O PAUL REVERE LIFE INS COMPANY PO BOX 1365 COLUMBIA, SC 29202 | THE PAUL REVERE LIFE INSURANCE COMPANY | $232 | $11 | $243 | 34.66% |
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 | 2,838 | 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) | 2,838 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 1,192 | $3.8M |
| Dental | UNITED HEALTHCARE INSURANCE COMPANY | 1,192 | $3.7M |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 1,192 | $3.7M |
| Life insurance | UNITED HEALTHCARE INSURANCE COMPANY | 2,838 | $494K |
| Short-term disability | UNITED HEALTHCARE INSURANCE COMPANY | 2,838 | $494K |
| Long-term disability | UNITED HEALTHCARE INSURANCE COMPANY | 2,838 | $494K |
| Prescription drug(5 contracts, 5 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 1,192 | $3.8M |
| Other(3 contracts, 3 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 2,838 | $497K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,838 | — |
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."
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.