| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SCAL INNOVATIVE SERVICES LLC3 Filed as: SCAL INNOVATIVE SERVICES | 122 AVENIDA DEL MAR, SUITE G SAN CLEMENTE, CA 92672 | KAISER FOUNDATION HEALTH PLAN INC | $43K | — | $43K | 8.71% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CAL INS SVS | PO BOX 2158 RIVERSIDE, CA 92516 | KAISER FOUNDATION HEALTH PLAN INC | — | $721 | $721 | 0.15% |
| JOHN BOURLAND3 | 116 ROYCROFT AVE., APT 2 LONG BEACH, CA 90803 | KAISER FOUNDATION HEALTH PLAN INC | -$17K | — | -$17K | -3.45% |
| SCAL INNOVATIVE SERVICES LLC3 Filed as: SCAL INNOVATIVE SERVICES | 122 AVENIDA DEL MAR, SUITE G SAN CLEMENTE, CA 92672 | KAISER FOUNDATION HEALTH PLAN INC | $21K | — | $21K | 6.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL OF CAL INS SVS | PO BOX 2158 RIVERSIDE, CA 92516 | KAISER FOUNDATION HEALTH PLAN INC | — | $318 | $318 | 0.09% |
| SCAL INNOVATIVE SERVICES LLC3 Filed as: SCAL INNOVATIVE SERVICES | 122 AVENIDA DEL MAR STE G SAN CLEMENTE, CA 92672 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 13.79% |
| CARECULTURE HEALTH INSURANCE SERVIC3 Filed as: CARECULTURE HEALTH INS. SVCS. | 999 CORPORATE DR., SUITE 100 LADERA RANCH, CA 92694 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $656 | — | $656 | 1.61% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS INC. | 225 WIRELESS BLVD., FLOOR 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $164 | $164 | 0.40% |
| SCAL INNOVATIVE SERVICES LLC3 Filed as: SCAL INNOVATIVE SERVICES | 122 AVENIDA DEL MAR, SUITE G SAN CLEMENTE, CA 92672 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 13.65% |
| CARECULTURE HEALTH INSURANCE SERVIC3 Filed as: CARECULTURE HEALTH INS. SVCS. | 999 CORPORATE DR., SUITE 100 LADERA RANCH, CA 92694 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $391 | — | $391 | 1.35% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS INC. | 225 WIRELESS BLVD., FLOOR 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $130 | $130 | 0.45% |
| SCAL INNOVATIVE SERVICES LLC3 Filed as: SCAL INNOVATIVE SERVICES | 122 AVENIDA DEL MAR, SUITE G SAN CLEMENTE, CA 92672 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 9.11% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK RD., #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $287 | $287 | 1.71% |
| CARECULTURE HEALTH INSURANCE SERVIC3 Filed as: CARECULTURE HEALTH INS. SVCS. | 999 CORPORATE DR., SUITE 100 LADERA RANCH, CA 92694 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $151 | — | $151 | 0.90% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS INC. | 225 WIRELESS BLVD., FLOOR 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $75 | $75 | 0.45% |
| SCAL INNOVATIVE SERVICES LLC3 Filed as: SCAL INNOVATIVE SERVICES | 122 AVENIDA DEL MAR, SUITE G SAN CLEMENTE, CA 92672 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 9.12% |
| JENNINGS INSURANCE SERVICES5 | 10524 MOSS PARK RD., #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $553 | $553 | 3.53% |
| CARECULTURE HEALTH INSURANCE SERVIC3 Filed as: CARECULTURE HEALTH INS. SVCS. | 999 CORPORATE DR., SUITE 100 LADERA RANCH, CA 92694 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $138 | — | $138 | 0.88% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS INC. | 225 WIRELESS BLVD., FLOOR 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $69 | $69 | 0.44% |
| SCAL INNOVATIVE SERVICES LLC3 Filed as: SCAL INNOVATIVE SERVICES | 122 AVENIDA DEL MAR, SUITE G SAN CLEMENTE, CA 92672 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $773 | — | $773 | 9.21% |
| CARECULTURE HEALTH INSURANCE SERVIC3 Filed as: CARECULTURE HEALTH INS. SVCS. | 999 CORPORATE DR., SUITE 100 LADERA RANCH, CA 92694 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $66 | — | $66 | 0.79% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS INC. | 225 WIRELESS BLVD., FLOOR 2 HAUPPAUGE, NY 11788 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $33 | $33 | 0.39% |
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 | 254 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 255 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 84 | $832K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 254 | $37K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 91 | $41K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 84 | $832K |
| Other(4 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 254 | $70K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 254 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.