| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SRVCS, INC | 32110 AGOURA ROAD WEST LAKE VILLAGE, CA 91361 | KAISER FOUNDATION HEALTH PLAN, INC. | $442K | — | $442K | 3.80% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC - IL | 29840 NETWORK PLACE CHICAGO, IL 606731298 | KAISER FOUNDATION HEALTH PLAN, INC. | $321K | — | $321K | 2.75% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | CALIFORNIA PHYSICIANS' SERVICE | $102K | — | $102K | 5.00% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WEST LAKE VILLAGE, CA 91361 | CALIFORNIA PHYSICIANS' SERVICE | — | $46K | $46K | 2.25% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $62K | — | $62K | 9.90% |
| AON CONSULTING INC3 Filed as: AON HEWITT - LOS ANGELES, CA | 707 WILSHIRE BOULEVARD LOS ANGELES, CA 90017 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $13K | — | $13K | 9.51% |
| AON CONSULTING INC3 Filed as: AON HEWITT - LOS ANGELES | 707 WILSHIRE BOULEVARD SUITE 2600 LOS ANGELES, CA 90017 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $13 | — | $13 | 0.01% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - LOS ANGELES | 29840 NETWORK PLACE CHICAGO, IL 60673 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $19K | — | $19K | 14.08% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - LOS ANGELES | 707 WILSHIRE BLVD LOS ANGELES, CA 900300596 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 1.17% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - LOS ANGELES | 29840 NETWORK PLACE CHICAGO, IL 60673 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 14.14% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - LOS ANGELES | 707 WILSHIRE BLVD LOS ANGELES, CA 900300596 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 1.18% |
| CUSTOM BENEFITS PROGRAMS3 Filed as: CUSTOM BENEFITS PROGRAMS, INC | 897 12TH STREET HAMMONTON, NJ 08037 | COMBINED INSURANCE COMPANY OF AMERICA | $19K | — | $19K | 20.25% |
| PAUL STANLEY JR3 Filed as: PAUL STANLEY, JR | 3800 ISABELLA STREET WEST SACRAMENTO, CA 95691 | COMBINED INSURANCE COMPANY OF AMERICA | $19K | — | $19K | 20.22% |
| AON CONSULTING INC3 Filed as: AON CONSULTING | 29840 NETWORK PLACE CHICAGO, IL 606731298 | COMBINED INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 1.50% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - LOS ANGELES | 29840 NETWORK PLACE CHICAGO, IL 60673 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 14.14% |
| AON CONSULTING INC3 Filed as: AON CONSULTING - LOS ANGELES | 707 WILSHIRE BLVD LOS ANGELES, CA 900300596 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $643 | $643 | 1.18% |
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 | 1,371 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,374 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,364 | $13.7M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,678 | $630K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 1,641 | $138K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,375 | $231K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 113 | $55K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,364 | $13.7M |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,375 | $325K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,678 | — |
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.