| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE SIMPSON INS. SERVICES LLC | 24005 VENTURA BLVD CALABASAS, CA 913021447 | KAISER FOUNDATION HEALTH PLAN INC. | $26K | $0 | $26K | 3.63% |
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | BLUE SHIELD OF CALIFORNIA | $0 | $24K | $24K | 5.26% |
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $9K | $0 | $9K | 9.94% |
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | CIGNA DENTAL HEALTH OF CALIFORNIA, INC. | $2K | $0 | $2K | 10.00% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE SIMPSON INS. SERVICES LLC | 24005 VENTURA BLVD CALABASAS, CA 91302 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $886 | $0 | $886 | 15.00% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE SIMPSON | 24005 VENTURA BLVD CALABASAS, CA 91302 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $841 | $0 | $841 | 14.99% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE SIMPSON INS. SVCS. | 5550 TOPANGA CANYON BLVD. SUITE 310 WOODLAND HILLS, CA 91367 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $762 | $0 | $762 | 17.67% |
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $573 | $151 | $724 | 18.95% |
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $438 | $46 | $484 | 16.58% |
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 | 228 | 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) | 228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 177 | $1.2M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 93 | $111K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 93 | $90K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 208 | $4K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 70 | $454K |
| Other(5 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 208 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 208 | — |
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."
No prospect flags tripped on this filing.