| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN INC | $16K | $341 | $17K | 2.99% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 4607 LAKEVIEW CANYON ROAD WESTLAKE VILLAGE, CA 91361 | KAISER FOUNDATION HEALTH PLAN INC | $11K | — | $11K | 2.03% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN INC | $5K | $114 | $6K | 2.84% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 4607 LAKEVIEW CANYON ROAD WESTLAKE VILLAGE, CA 91361 | KAISER FOUNDATION HEALTH PLAN INC | $4K | — | $4K | 2.10% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 325 E. HILLCREST DRIVE THOUSAND OAKS, CA 91360 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $7K | — | $7K | 4.68% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 S. STREET SAN DIEGO, CA 92101 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $7K | — | $7K | 4.42% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | — | $4K | 9.76% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 325 E. HILLCREST DRIVE THOUSAND OAKS, CA 91360 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 5.24% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 6.51% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 325 E. HILLCREST DRIVE THOUSAND OAKS, CA 91360 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $971 | — | $971 | 3.49% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE STREET, SUITE 200 NEWPORT BEACH, CA 92660 | EYEMED VISION CARE | $2K | — | $2K | 10.06% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 4607 LAKEVIEW CANYON ROAD WESTLAKE VILLAGE, CA 91361 | EYEMED VISION CARE | $529 | — | $529 | 2.62% |
| EOI SERVICE COMPANY INC3 | 1820 E 1ST STREET, SUITE 400 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 14.19% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE STREET, SUITE 200 NEWPORT BEACH, CA 92660 | METROPOLITAN LIFE INSURANCE COMPANY | $770 | $134 | $904 | 6.70% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 325 E. HILLCREST DRIVE THOUSAND OAKS, CA 91360 | METROPOLITAN LIFE INSURANCE COMPANY | $50 | — | $50 | 0.37% |
| EOI SERVICE COMPANY INC3 | 1820 E 1ST STREET, SUITE 400 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 14.53% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE STREET, SUITE 200 NEWPORT BEACH, CA 92660 | METROPOLITAN LIFE INSURANCE COMPANY | $635 | $125 | $760 | 6.79% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 325 E. HILLCREST DRIVE THOUSAND OAKS, CA 91360 | METROPOLITAN LIFE INSURANCE COMPANY | $62 | — | $62 | 0.55% |
| EOI SERVICE COMPANY INC3 | 1820 E 1ST STREET, SUITE 400 SANTA ANA, CA 92705 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 19.04% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE STREET, SUITE 200 NEWPORT BEACH, CA 92660 | METROPOLITAN LIFE INSURANCE COMPANY | $763 | $124 | $887 | 8.30% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 325 E. HILLCREST DRIVE THOUSAND OAKS, CA 91360 | METROPOLITAN LIFE INSURANCE COMPANY | $109 | — | $109 | 1.02% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $361 | — | $361 | 6.55% |
| PCH BENEFITS & INSURANCE SOLUTIONS3 | 325 E. HILLCREST DRIVE THOUSAND OAKS, CA 91360 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $190 | — | $190 | 3.45% |
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 | 222 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 234 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 117 | $790K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 170 | $160K |
| Vision | EYEMED VISION CARE | 286 | $20K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 222 | $26K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 221 | $28K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 221 | $45K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 94 | $755K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 222 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 286 | — |
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.