| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PEATE INSURANCE BROKER3 | 24005 VENTURA BOULEVARD CALABASAS, CA 91302 | CALIFORNIA PHYSICIANS' SERVICE | $12K | — | $12K | 3.33% |
| HIXME INSURANCE SOLUTIONS, INC.3 Filed as: HIXME INSURANCE SOLUTIONS, INC | 27489 AGOURA ROAD, SUITE 100 AGOURA, CA 91301 | CALIFORNIA PHYSICIANS' SERVICE | $11K | — | $11K | 3.12% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | CALIFORNIA PHYSICIANS' SERVICE | $2K | — | $2K | 0.67% |
| HIXME INSURANCE SOLUTIONS, INC.3 Filed as: HIXME INSURANCE SOLUTIONS, INC | 27489 AGOURA ROAD, SUITE 100 AGOURA HILLS, CA 91301 | KAISER FOUNDATION HEALTH PLAN INC | $4K | — | $4K | 2.13% |
| PEATE INSURANCE BROKER3 | 27489 AGOURA ROAD, SUITE 100 AGOURA HILLS, CA 91301 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 1.34% |
| FILICE INSURANCE AGENCY3 | 738 NOFRTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC | $66 | — | $66 | 0.03% |
| INSURANCE APPLICATIONS GROUP3 | — | BCS INSURANCE COMPANY | $13K | — | $13K | 11.09% |
| PEATE INSURANCE BROKER3 | 27489 AGOURA RD., SUITE 100 AGOURA HILLS, CA 91301 | TRANSAMERICA LIFE INSURANCE COMPANY | $5K | — | $5K | 8.37% |
| MITCH BESVINICK3 | 1280 BRIGHTON WAY NEW TOWN SQUARE, PA 19073 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 2.49% |
| NET BENEFITS PLUS3 | 24013 VENTURA BLVD. 200 CALABASAS, CA 91302 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 2.10% |
| WORXSITEHR INSURANCE SOLUTIONS3 | 23679 CALABASAS RD SUITE 514 CALABASAS, CA 91302 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 2.10% |
| HIXME INSURANCE SOLUTIONS, INC.3 Filed as: HIXME INSURANCE SOLUTIONS, INC | 27489 AGOURA ROAD AGOURA HILLS, CA 91301 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 1.99% |
| HIXME INSURANCE SOLUTIONS, INC.3 Filed as: HIXME INSURANCE SOLUTIONS, INC | 27489 AGOURA ROAD, SUITE 100 AGOURA HILLS, CA 91301 | PREMIER ACCESS INSURANCE COMPANY | $3K | — | $3K | 4.74% |
| FILICE INSURANCE AGENCY3 | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | PREMIER ACCESS INSURANCE COMPANY | $340 | — | $340 | 0.56% |
| PEATE INSURANCE BROKER3 | 27489 AGOURA ROAD, SUITE 100 AGOURA HILLS, CA 91301 | PRINCIPAL LIFE INSURANCE COMPANY | $811 | — | $811 | 7.62% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | PRINCIPAL LIFE INSURANCE COMPANY | $85 | — | $85 | 0.80% |
| HIXME INSURANCE SOLUTIONS, INC.3 Filed as: HIXME INSURANCE SOLUTIONS, INC | 27489 AGOURA ROAD, SUITE 100 AGOURA HILLS, CA 91301 | VISION SERVICE PLAN | $565 | — | $565 | 7.48% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | VISION SERVICE PLAN | $68 | — | $68 | 0.90% |
| INSURANCE APPLICATIONS GROUP3 | — | 4 EVER LIFE INSURANCE COMPANY | $831 | — | $831 | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| KEY BENEFIT ADMINISTRATORS EIN 35-1450364 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $76K |
| PEATE INSURANCE BROKER EIN 26-4127469 BROKER | Insurance agents and brokers Service code 22 | 27489 AGOURA ROAD SUITE 100 AGOURA HILLS, CA 91301 | $22K |
| PLANNED ADMINISTRATORS, INC EIN 57-0718839 THIRD PARTY ADMIN | Plan Administrator Service code 14 | — | $18K |
| DSM FINANCIAL EIN 27-1411214 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 950 PENINSULA CORP CIRCLE SUITE 1005 BOCA RATON, FL 33487 | $13K |
| AMERICAN HEALTH DATA INSTITUTE EIN 35-2048379 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $12K |
| MULTIPLAN EIN 35-2048379 PROVIDER | Other fees Service code 99 | 115 5TH AVENUE 7TH FLOOR NEW YORK, NY 10003 | $11K |
| RGI, LLC EIN 32-0176370 THIRD PARTY ADMIN | Contract Administrator Service code 13 | 8330 ALLISON POINTE TRAIL INDIANAPOLIS, IN 46250 | $9K |
| HIXME INSURANCE SOLUTIONS, INC EIN 47-3663370 BROKER | Insurance agents and brokers Service code 22 | 27489 AGOURA ROAD AGOURA HILLS, CA 91301 | $5K |
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 | 61 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 63 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 217 | $694K |
| Dental(3 contracts, 3 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 217 | $527K |
| Vision(3 contracts, 3 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 217 | $474K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 116 | $16K |
| Short-term disability | 4 EVER LIFE INSURANCE COMPANY | 116 | $6K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 77 | $345K |
| Other | TRANSAMERICA LIFE INSURANCE COMPANY | 13 | $63K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 217 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.