| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVENUE NE, SUITE 200 BELLEVUE, WA 98004 | KAISER FOUNDATION HEALTH PLAN INC | $101K | $0 | $101K | 5.30% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 4000 MIDLANTIC AVENUE, SUITE 300 MOUNT LAUREL, NJ 08054 | DELTA DENTAL OF CALIFORNIA | $29K | $0 | $29K | 5.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | VISION SERVICE PLAN | $12K | $0 | $12K | 9.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 111 VETERANS BOULEVARD, SUITE 1130 METAIRIE, LA 70005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | $0 | $8K | 30.15% |
| DUSTIN J. PARASPOLO3 Filed as: DUSTIN JAMES PARASPOLO | 308 EAST PUENTE STREET COVINA, CA 91723 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 7.92% |
| STEVEN GOLDSTEIN3 Filed as: STEVEN CRAIG GOLDSTEIN | 6255 VENTURA CANYON VALLEY GLEN, CA 91401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 5.47% |
| MICHAEL R. FISHER3 Filed as: MICHAEL ROBERT FISHER | 532 PARK ROSE AVENUE MONROVIA, CA 91016 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 4.68% |
| MJ INSURANCE3 Filed as: JUDE T. EVANS AND VARIOUS AGENTS | 1330 NORTH AVENUE 55, SUITE 1 LOS ANGELES, CA 90042 | CONTINENTAL AMERICAN INSURANCE COMPANY | $733 | $0 | $733 | 2.69% |
| JOE L. BONILLA3 Filed as: JOE LUIS BONILLA | 3654 VERDUGO VISTA TERRACE LOS ANGELES, CA 90065 | CONTINENTAL AMERICAN INSURANCE COMPANY | $195 | $0 | $195 | 0.72% |
| DAVID JAMES RANDALL3 | 1860 CHESSON STREET DUARTE, CA 91010 | CONTINENTAL AMERICAN INSURANCE COMPANY | $141 | — | $141 | 0.52% |
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 | 686 | 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) | 686 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 319 | $1.9M |
| Dental | DELTA DENTAL OF CALIFORNIA | 1,312 | $580K |
| Vision | VISION SERVICE PLAN | 607 | $126K |
| Life insurance | CONTINENTAL AMERICAN INSURANCE COMPANY | 420 | $27K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 420 | $27K |
| Long-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 420 | $27K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 319 | $1.9M |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 966 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,312 | — |
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.