| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NAKAMURA, RUSSELL S3 Filed as: NAKAMURA, RUSSELL SHINYA | 4500 PARK GRANADA BLVD SUITE 202 CALABASAS, CA 91302 | CALIFORNIA PHYSICIANS' SERVICE | $690 | $23K | $24K | 5.34% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES, | LLC 1600 W HILLSDALE BLVD SUITE 201 SAN MATEO, CA 94402 | CALIFORNIA PHYSICIANS' SERVICE | $9K | — | $9K | 2.10% |
| ECHO NEO NINJA INS SOLUTIONS3 Filed as: ECHO NEO NINJA INSURANCE SOLUTIONS, | INC. 4500 PARK GRANADA STE 202 CALABASAS, CA 913021666 | KAISER FOUNDATION HEALTH PLAN, INC. | $18K | — | $18K | 5.15% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES, | INC. 32110 AGOURA RD WESTLAKE VILLAGE, CA 913614026 | KAISER FOUNDATION HEALTH PLAN, INC. | $5K | — | $5K | 1.34% |
| RUSSELL L WARYE3 Filed as: RUSSELL NAKAMURA | — | DELTA DENTAL OF CALIFORNIA | $9K | — | $9K | 10.00% |
| RUSSELL S NAKAMURA3 Filed as: RUSSELL SHINYA NAKAMURA | 4500 PARK GRANADA STE 202 CALABASAS, CA 913021613 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 26.46% |
| MICHAEL SCOTT ROSEN3 | 2226 WHITE ST. PASADENA, CA 91107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 3.74% |
| ANDRES ORLANDO TRUJILLO3 | 21338 MONETA AVE CARSON, CA 907451952 | CONTINENTAL AMERICAN INSURANCE COMPANY | $791 | — | $791 | 2.47% |
| ECHO NEO NINJA INS SOLUTIONS3 Filed as: ECHO NEO NINJA INSURANCE SOLUTIONS, | INC. 4500 PARK GRANADA BLVD SUITE 202 CALABASAS, CA 91302 | CONTINENTAL AMERICAN INSURANCE COMPANY | $224 | — | $224 | 0.70% |
| GEORGE E ARBID3 Filed as: GEORGE ELIE ARBID | 25728 LEWIS WAY STEVENSON RANCH, CA 91381 | CONTINENTAL AMERICAN INSURANCE COMPANY | $183 | — | $183 | 0.57% |
| HERACIO ORTIZ3 | 26015 CYPRESS ST 41 LOMITA, CA 90717 | CONTINENTAL AMERICAN INSURANCE COMPANY | $51 | — | $51 | 0.16% |
| NAKAMURA, RUSSELL S3 | 4500 PARK GRANADA BLVD SUITE 2 CALABASAS, CA 91302 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 15.00% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVI | 2 ENTERPRISE DRIVE SUITE 204 SHELTON, CT 06484 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $512 | $512 | 5.00% |
| NAKAMURA, RUSSELL S3 | 4500 PARK GRANADA BLVD SUITE 2 CALABASAS, CA 91302 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $927 | — | $927 | 10.00% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVI | 5114 POINT FOSDICK DR STE F41 GIG HARBOR, WA 98335 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $464 | $464 | 5.01% |
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 | 187 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 51 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 238 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 63 | $793K |
| Dental | DELTA DENTAL OF CALIFORNIA | 161 | $91K |
| Vision | CALIFORNIA PHYSICIANS' SERVICE | 63 | $448K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 54 | $10K |
| Short-term disability(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 181 | $41K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 63 | $448K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 72 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 181 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.