| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | BLUE SHIELD OF CALIFORNIA | $15K | — | $15K | 1.87% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | KAISER FOUNDATION HEALTH PLAN | $22K | — | $22K | 3.74% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | HEALTH NET OF CALIFORNIA, INC. | $6K | — | $6K | 1.43% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | OSCAR INSURANCE CORPORATION | $9K | — | $9K | 3.46% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | 801 S. FIGUEROA STREET SUITE 700 LOS ANGELES, CA 90017 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | -$365 | — | -$365 | -0.31% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | EYEMED | $855 | — | $855 | 3.03% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | PO BOX 101162 PASADENA, CA 91189 | EYEMED | $428 | — | $428 | 1.52% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | TRANSAMERICA LIFE INSURANCE COMPANY | $13K | — | $13K | 52.51% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | EYEMED | $5 | — | $5 | 3.57% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INS SVCS OF CA INC | PO BOX 101162 PASADENA, CA 90503 | EYEMED | $4 | — | $4 | 2.86% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CA | PO BOX 101162 PASADENA, CA 91189 | EYEMED | $6 | — | $6 | 9.38% |
| HIXME INSURANCE SOLUTIONS, INC.3 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | EYEMED | $6 | — | $6 | 9.38% |
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 | 422 | 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) | 425 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(11 contracts, 10 carriers) | BLUE SHIELD OF CALIFORNIA | 168 | $2.3M |
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 291 | $99K |
| Vision(3 contracts) | EYEMED | 514 | $28K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 406 | $17K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 3 | $2K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 43 | $13K |
| Prescription drug(11 contracts, 10 carriers) | BLUE SHIELD OF CALIFORNIA | 168 | $2.3M |
| Other(2 contracts, 2 carriers) | TRANSAMERICA LIFE INSURANCE COMPANY | 406 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 514 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.