| 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 | -$3K | $37K | $34K | 4.97% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES, | LLC 1600 W HILLSDALE BLVD SUITE 201 SAN MATEO, CA 94402 | CALIFORNIA PHYSICIANS' SERVICE | $13K | — | $13K | 1.96% |
| 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 | 4.09% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES, | INC. 32110 AGOURA RD WESTLAKE VILLAGE, CA 913614026 | KAISER FOUNDATION HEALTH PLAN, INC. | $4K | — | $4K | 0.99% |
| RUSSELL L WARYE3 Filed as: RUSSELL NAKAMURA | — | DELTA DENTAL OF CALIFORNIA | $10K | — | $10K | 10.00% |
| RUSSELL S NAKAMURA3 Filed as: RUSSELL SHINYA NAKAMURA | 4500 PARK GRANADA STE 202 CALABASAS, CA 913021613 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | — | $4K | 13.11% |
| HERACIO ORTIZ3 | 26015 CYPRESS ST 41 LOMITA, CA 90717 | CONTINENTAL AMERICAN INSURANCE COMPANY | $728 | — | $728 | 2.26% |
| ANDRES ORLANDO TRUJILLO3 | 21338 MONETA AVE CARSON, CA 907451952 | CONTINENTAL AMERICAN INSURANCE COMPANY | $511 | — | $511 | 1.59% |
| MICHAEL SCOTT ROSEN3 | 2226 WHITE ST. PASADENA, CA 91107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $457 | — | $457 | 1.42% |
| 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 | $65 | — | $65 | 0.20% |
| GEORGE E ARBID3 Filed as: GEORGE ELIE ARBID | 25728 LEWIS WAY STEVENSON RANCH, CA 91381 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.10% |
| NAKAMURA, RUSSELL S3 | 4500 PARK GRANADA BLVD SUITE 2 CALABASAS, CA 91302 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 13.82% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVI | 2 ENTERPRISE DRIVE SUITE 204 SHELTON, CT 06484 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $864 | $864 | 4.61% |
| NAKAMURA, RUSSELL S3 | 4500 PARK GRANADA BLVD SUITE 2 CALABASAS, CA 91302 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 9.02% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVI | 5114 POINT FOSDICK DR STE F41 GIG HARBOR, WA 98335 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $665 | $665 | 4.51% |
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 | 189 | 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) | 240 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 80 | $1.1M |
| Dental | DELTA DENTAL OF CALIFORNIA | 159 | $101K |
| Vision | CALIFORNIA PHYSICIANS' SERVICE | 80 | $678K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 59 | $19K |
| Short-term disability(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 185 | $47K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 80 | $678K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 59 | $51K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 185 | — |
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.