| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | $0 | $12K | 16.44% |
| HODGES-MACE LLC3 Filed as: HODGES MACE LLC | PO BOX 95381 CHICAGO, IL 60694 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $2K | $2K | 3.29% |
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | $0 | $9K | 15.00% |
| HODGES-MACE LLC3 Filed as: HODGES MACE LLC | PO BOX 95381 CHICAGO, IL 60694 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $2K | $2K | 3.00% |
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $0 | $8K | 15.00% |
| HODGES-MACE LLC3 Filed as: HODGES MACE LLC | PO BOX 95381 CHICAGO, IL 60694 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $2K | $2K | 3.00% |
| MONTAGE INSURANCE SOLUTIONS3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $0 | $7K | 15.00% |
| MONTAGE INSURANCE SOLUTIONS3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | $0 | $5K | 15.00% |
| MONTAGE INSURANCE SOLUTIONS3 | 24005 VENTURA BLVD CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $5K | $0 | $5K | 15.00% |
| DANONE SIMPSON INSURANCE SERVICES3 | 24005 VENTURA BLVD. CALABASAS, CA 91302 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 15.00% |
| HODGES-MACE LLC3 Filed as: HODGES MACE LLC | PO BOX 95381 CHICAGO, IL 60694 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $422 | $422 | 3.00% |
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 | 1,457 | 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) | 1,458 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,140 | $15.3M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 2,140 | $5.2M |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 2,140 | $5.2M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,696 | $71K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 269 | $62K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 275 | $56K |
| Other(5 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,696 | $202K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,140 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.