| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PETRA PACIFIC INS SERVICE, INC3 | 13950 CERRITOS CORPORATE DR, STE A SUITE A CERRITOS, CA 90703 | KAISER FOUNDATION HEALTH PLAN INC | $30K | — | $30K | 3.84% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN INC | $4K | — | $4K | 0.47% |
| PETRA PACIFIC INS SERVICE, INC3 | 13950 CERRITOS CORPORATE DR, STE A CERRITOS, CA 90703 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $26K | — | $26K | 9.37% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $3K | — | $3K | 1.06% |
| PETRA PACIFIC INS SERVICE, INC3 | 13950 CERRITOS CORPORATE DR, STE A CERRITOS, CA 90703 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 3.81% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 1.01% |
| PETRA PACIFIC INS SERVICE, INC3 | 13950 CERRITOS CORPORATE DR, STE A CERRITOS, CA 90703 | DELTA DENTAL OF CALIFORNIA | $7K | — | $7K | 6.92% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, INC | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 3.08% |
| PETRA PACIFIC INS SERVICE, INC3 | 13950 CERRITOS CORPORATE DR, STE A SUITE A CERRITOS, CA 90703 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 12.36% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | SUN LIFE ASSURANCE COMPANY OF CANADA | $777 | — | $777 | 1.22% |
| PETRA PACIFIC INS SERVICE, INC3 | 13950 CERRITOS CORPORATE DR, STE A CERRITOS, CA 90703 | VISION SERVICE PLAN | $1K | — | $1K | 3.56% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, INC | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | VISION SERVICE PLAN | $729 | — | $729 | 1.84% |
| PETRA PACIFIC INS SERVICE, INC3 | 13950 CERRITOS CORPORATE DR, STE A CERRITOS, CA 90703 | DELTA DENTAL OF CALIFORNIA | $437 | — | $437 | 5.99% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, INC | 18100 VON KARMAN 10TH FLOOR IRVINE, CA 92612 | DELTA DENTAL OF CALIFORNIA | $293 | — | $293 | 4.01% |
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 | 179 | 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) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 117 | $1.2M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 179 | $112K |
| Vision | VISION SERVICE PLAN | 184 | $40K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 127 | $64K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 127 | $64K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 117 | $956K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 127 | $64K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.