| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES, INC. | 21820 BURBANK BOULEVARD, SUITE 300 WOODLAND HILLS, CA 91367 | BLUE CROSS OF CALIFORNIA | $150K | $380 | $151K | 2.03% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | BLUE CROSS OF CALIFORNIA | $147K | — | $147K | 1.97% |
| BURNHAM BENEFITS INSURANCE SERVICES3 Filed as: BURNHAM BENEFIT INSURANCE SERVICES | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | THE GUARDIAN LIFE INSURANCE COMPANY | $52K | — | $52K | 6.13% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES, INC. | 21820 BURBANK BOULEVARD, SUITE 300 WOODLAND HILLS, CA 91367 | THE GUARDIAN LIFE INSURANCE COMPANY | $42K | — | $42K | 4.87% |
| NANETTE STARK3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 94144 | AFLAC | $16K | $2K | $17K | 6.27% |
| MJ INSURANCE3 Filed as: STEPHEN STROCKER AND VARIOUS AGENTS | 19635 VALDEZ DRIVE TARZANA, CA 91356 | AFLAC | $16K | $2K | $17K | 6.27% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES | 21650 OXNARD STREET, SUITE 1825 WOODLAND HILLS, CA 91367 | AFLAC | $11K | — | $11K | 4.07% |
| SPALDING GROUP ENTERPRISES3 | 4297 KLUMP AVENUE STUDIO CITY, CA 91602 | AFLAC | $6K | $590 | $7K | 2.47% |
| MAX-JOSEPH H MONTEL3 Filed as: MAX JOSEPH H. MONTEL | 94834 WILCOX AVENUE LOS ANGELES, CA 90038 | AFLAC | $5K | $1K | $7K | 2.36% |
| TERRENCE MODESTI3 | 19528 VENTURA BOULEVARD, SUITE 143 TARZANA, CA 91356 | AFLAC | $4K | $79 | $4K | 1.41% |
| ALLAN PROCEL3 | 5863 LEVI LANE VAN NUYS, CA 91401 | AFLAC | $3K | $389 | $4K | 1.29% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | VISION SERVICE PLAN | $3K | — | $3K | 2.87% |
| LEAVITT GROUP3 Filed as: LEAVITT INSURANCE SERVICES, INC. | 21820 BURBANK BOULEVARD, SUITE 300 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $2K | — | $2K | 2.13% |
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 | 1,143 | 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) | 1,143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 1,542 | $7.4M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY | 1,143 | $855K |
| Vision | VISION SERVICE PLAN | 740 | $113K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY | 1,143 | $855K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY | 1,143 | $855K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY | 1,143 | $855K |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 1,542 | $7.4M |
| Other(3 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY | 1,143 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,542 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.