| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TOREY EDWARDS3 | 4211 EAST 4TH STREET, APARTMENT 2 LONG BEACH, CA 90814 | UNITEDHEALTHCARE INSURANCE COMPANY | $95K | $0 | $95K | 2.93% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 777 MARINERS ISLAND BOULEVARD SUITE 250 SAN MATEO, CA 94404 | UNITEDHEALTHCARE INSURANCE COMPANY | $80K | $0 | $80K | 2.46% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS AND FIN. SVCS | 6200 CANOGA AVENUE, SUITE 300 WOODLAND HILLS, CA 91367 | UNITEDHEALTHCARE INSURANCE COMPANY | $30K | $9K | $39K | 1.21% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | 50 CALIFORNIA STREET, 12TH FLOOR SAN FRANCISCO, CA 94111 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $0 | $3K | 0.10% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 777 MARINERS ISLAND BOULEVARD SUITE 250 SAN MATEO, CA 94404 | KAISER FOUNDATION HEALTH PLAN, INC. | $15K | $0 | $15K | 4.05% |
| TOREY EDWARDS3 | 4211 EAST 4TH STREET, APARTMENT 2 LONG BEACH, CA 90814 | KAISER FOUNDATION HEALTH PLAN, INC. | $4K | $5K | $9K | 2.29% |
| ADVANTIS INSURANCE SERVICES3 | 26522 LA ALEMEDA, SUITE 210 MISSION VIEJO, CA 92691 | KAISER FOUNDATION HEALTH PLAN, INC. | $3K | $5K | $8K | 2.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS AND FIN. SVCS | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | KAISER FOUNDATION HEALTH PLAN, INC. | $1K | $0 | $1K | 0.29% |
| MJ INSURANCE3 Filed as: LUIS PEREZ AND VARIOUS AGENTS | 861 KENWOOD STREET UPLAND, CA 91784 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19K | $3K | $22K | 11.56% |
| TOREY EDWARDS3 | 4211 EAST 4TH STREET, APARTMENT 2 LONG BEACH, CA 90814 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11K | $500 | $12K | 6.37% |
| JOHN D EVANGELISTA3 Filed as: JOHN EVANGELISTA | 186 LAS FLORES ALISO VIEJO, CA 92656 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $3K | $11K | 5.92% |
| TECH COORDINATOR CYBER INSURANCE SO3 Filed as: TECH CORDINATOR CYBER INS | 10741 LA JARA STREET CERRITOS, CA 90703 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $3K | $10K | 5.15% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 777 MARINERS ISLAND BOULEVARD SUITE 250 SAN MATEO, CA 94404 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9K | $0 | $9K | 4.62% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS AND FIN. SVCS | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $0 | $5K | 2.61% |
| SARAH COURTNEY KNAPP3 Filed as: SARAH KNAPP | 61 SKLAR LADERA RANCH, CA 92694 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $1K | $4K | 2.20% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | 1050 SW 6TH AVENUE, SUITE 1000 PORTLAND, OR 97204 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 3.68% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 777 MARINERS ISLAND BOULEVARD SUITE 250 SAN MATEO, CA 94404 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.22% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 777 MARINERS ISLAND BOULEVARD SUITE 250 SAN MATEO, CA 94404 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $2K | $0 | $2K | 4.18% |
| TOREY EDWARDS3 | 4211 EAST 4TH STREET, APARTMENT 2 LONG BEACH, CA 90814 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $1K | $0 | $1K | 1.82% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS AND FIN. SVCS | 12404 PARK CENTRAL DRIVE SUITE 400S DALLAS, TX 75251 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $240 | $0 | $240 | 0.42% |
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 | 781 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 786 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 1,083 | $3.7M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 1,083 | $3.2M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 1,083 | $3.2M |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 1,083 | $3.2M |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 42 | $70K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 42 | $70K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 84 | $376K |
| Other(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 1,083 | $3.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,083 | — |
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.