| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEVEN DRISS INSURANCE AGENCY3 Filed as: STEVEN DRISS INSURANCE AGENCY INC. | 17609 VENTURA BOULEVARD, SUITE 316 ENCINO, CA 91316 | BLUE CROSS OF CALIFORNIA | $27K | — | $27K | 4.50% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 1600 W. HILLSDALE BLVD, SUITE 201 SAN MATEO, CA 94403 | BLUE CROSS OF CALIFORNIA | $6K | — | $6K | 1.03% |
| STEVEN DRISS INSURANCE AGENCY3 | 17609 VENTURA BLVD, SUITE 316 ENCINO, CA 913165133 | KAISER FOUNDATION HEALTH PLAN INC. | $23K | — | $23K | 5.35% |
| AMWINS3 Filed as: LISI, INC. | 1600 W. HILLSDALE BLVD., SUITE 201 SAN MATEO, CA 944023766 | KAISER FOUNDATION HEALTH PLAN INC. | $9K | — | $9K | 2.13% |
| STEVEN DRISS INSURANCE AGENCY3 | 17609 VENTURA BLVD, SUITE 316 ENCINO, CA 913165133 | KAISER FOUNDATION HEALTH PLAN INC. | $3K | — | $3K | 5.43% |
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 | 111 | 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) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 116 | $1.1M |
| Dental | BLUE CROSS OF CALIFORNIA | 116 | $599K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 116 | $13K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 116 | $13K |
| Prescription drug(3 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 116 | $1.1M |
| Other | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 116 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 116 | — |
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.