| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCE ASSIST, INC.3 | 3480 TORRANCE BLVD. SUITE 110 TORRANCE, CA 90503 | KAISER FOUNDATION HEALTH PLAN INC. | $60K | — | $60K | 4.98% |
| INSURANCEASSIST, INC.3 | INASSIST INSURANCE SERVICES 3480 TORRANCE BLVD., SUITE 110 TORRANCE, CA 90503 | HEALTH NET | $15K | — | $15K | 5.00% |
| INSURANCE ASSIST, INC.3 | 3480 TORRANCE BLVD. SUITE110 TORRANCE, CA 90503 | UNION SECURITY INSURANCE COMPANY | $11K | — | $11K | 8.00% |
| KATHY TRAVIS3 | 111 LA FORTURA NEWBURY PARK, CA 91320 | AFLAC | $2K | $87 | $2K | 7.02% |
| VIRGIL LEE WHITE3 | 1123 SOQUEL AVENUE SANTA CRUZ, CA 95062 | AFLAC | $383 | $37 | $420 | 1.71% |
| MICHAEL S NOLAN3 Filed as: MICHAEL S. NOLAN | 1445 E. LOS ANGELES AVENUE SUITE 208 SIMI VALLEY, CA 93065 | AFLAC | $399 | $17 | $416 | 1.70% |
| BRADLEY IAN WITT3 | 80 WOOD ROAD SUITE 202 CAMARILLO, CA 93010 | AFLAC | $302 | $17 | $319 | 1.30% |
| D BREDESON INSURANCE SERVICES INC3 Filed as: D BREDESON INSURANCE SERVICES INC. | 641 HIGUERA STREET SUITE 300 SAN LUIS OBISPO, CA 93401 | AFLAC | $146 | $25 | $171 | 0.70% |
| GENA G QUARANTELLO3 Filed as: GENA G. QUARANTELLO | 1210 CANSLER DRIVE ENID, OK 73703 | AFLAC | $170 | — | $170 | 0.69% |
| MICHAEL S NOLAN3 Filed as: MICHAEL S. NOLAN | 960 ENCHANTED WAY SUITE 107 SIMI VALLEY, CA 93065 | AFLAC | $145 | — | $145 | 0.59% |
| BRUCE QUARANTELLO3 | 4808 S. ELWOOD AVENUE LOT 137 TULSA, OK 74107 | AFLAC | $141 | — | $141 | 0.58% |
| KATHLEEN S HANSON3 Filed as: KATHLEEN S. HANSON | 2581 HILLCREST STREET SIGNAL HILL, CA 90755 | AFLAC | $81 | — | $81 | 0.33% |
| DERREK LYN KECK3 | 17809 COUNTRYSIDE COURT SALINAS, CA 93907 | AFLAC | $67 | $8 | $75 | 0.31% |
| ERNESTO GONZALEZ3 Filed as: ERNESTO GONZALEZ INSURANCE | SERVICES CORPORATION 310 JAMES WAY, SUITE 150 PISMO BEACH, CA 93449 | AFLAC | $71 | — | $71 | 0.29% |
| KYLE FALCE3 | 90 GREAT OAKS BLVD. SUITE 205 SAN JOSE, CA 95119 | AFLAC | $61 | $8 | $69 | 0.28% |
| SHELIA H. HARTMAN3 | 22801 VENTURA BLVD. SUITE 205 WOODLAND HILLS, CA 91364 | AFLAC | $68 | — | $68 | 0.28% |
| ANA MARIA BACKNER3 | 30 LA ENCINA NEWBURY PARK, CA 91320 | AFLAC | $55 | — | $55 | 0.22% |
| DERREK LYN KECK3 | 17809 COUNTRYSIDE COURT SALINAS, CA 93907 | AFLAC | $36 | — | $36 | 0.15% |
| DAWN A CHRISTENSEN3 Filed as: DAWN A. CHRISTENSEN | 24516 APPLE STREET NEWHALL, CA 91321 | AFLAC | $27 | — | $27 | 0.11% |
| VICKI L. WEAVER3 | 201 GLENWOOD CIRCLE SUITE 34E MONTEREY, CA 93940 | AFLAC | $24 | — | $24 | 0.10% |
| GEOFFREY MALAIS3 | 16800 DEVONSHIRE STREET SUITE 220 GRANADA HILLS, CA 91344 | AFLAC | $22 | — | $22 | 0.09% |
| JAMES T. DUDLEY3 | 2001 SAN BERNARDINO CREEK ROAD MORRO BAY, CA 93442 | AFLAC | $20 | — | $20 | 0.08% |
| LESTER RAY BLACKSHEAR3 | 500 E. FORT KING STREET SUITE A OCALA, FL 34471 | AFLAC | $17 | — | $17 | 0.07% |
| GUY M. WELCH3 Filed as: GUY M. WLECH | 5414 MERCEDES AVENUE DALLAS, TX 75206 | AFLAC | $13 | — | $13 | 0.05% |
| MAYNARD M. YOUNG3 | 20 HOBBS ROAD EFFINGHAM, NH 03882 | AFLAC | $11 | — | $11 | 0.04% |
| ANNETTE L. BURNS3 | 18804 MANDAN STREET UNIT 803 SANTA CLARITA, CA 91351 | AFLAC | $9 | — | $9 | 0.04% |
| VICTOR M FLORES3 Filed as: VICTOR M. FLORES | 1815 BRENNAN COURT LANCASTER, CA 93534 | AFLAC | $5 | — | $5 | 0.02% |
| CHUCK A. WRIGHT3 | P.O. BOX 13207 SAN LUIS OBISPO, CA 93406 | AFLAC | $5 | — | $5 | 0.02% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH A. BUZZELLO | 9018 BALBOA BLVD. SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $4 | — | $4 | 0.02% |
| DAVID M COUGHLIN3 Filed as: DAVID M. COUGHLIN | 751 HEBRON PARKWAY SUITE 220 LEWISVILLE, TX 75057 | AFLAC | $3 | — | $3 | 0.01% |
| INSURANCE ASSIST, INC.3 | 3480 TORRANCE BLVD. SUITE 110 TORRANCE, CA 90503 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 10.00% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 235 | $1.5M |
| Dental | UNION SECURITY INSURANCE COMPANY | 124 | $140K |
| Vision | HEALTH NET | 21 | $307K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 185 | $16K |
| Short-term disability | HARTFORD LIFE AND ACCIDENT | 185 | $16K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 185 | $16K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 235 | $1.2M |
| Other(2 contracts, 2 carriers) | AFLAC | 185 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.