| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| OLSON DUNCAN INSURANCE SERVICES INC3 Filed as: OLSON DUNCAN INSURANCE SERVICE, INC | 25550 HAWTHORNE BLVD STE 203 TORRANCE, CA 90505 | CALIFORNIA PHYSICIANS' SERVICE | $22K | — | $22K | 6.11% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS SVC | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | CALIFORNIA PHYSICIANS' SERVICE | $9K | — | $9K | 2.55% |
| OLSON DUNCAN INSURANCE SERVICES INC3 Filed as: OLSON DUNCAN INSURANCE SERVICE, INC | 25550 HAWTHORNE BLVD STE 203 TORRANCE, CA 905056831 | KAISER FOUNDATION HEALTH PLAN INC. | $8K | — | $8K | 5.02% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES, | LLC 2677 N MAIN ST STE 800 SANTA ANA, CA 927056687 | KAISER FOUNDATION HEALTH PLAN INC. | $3K | — | $3K | 1.95% |
| OLSON DUNCAN INSURANCE SERVICES INC3 Filed as: OLSON DUNCAN INSURANCE SERVICE, INC | 25550 HAWTHORNE BLVD STE 203 TORRANCE, CA 90505 | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | $187 | — | $187 | 4.75% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS SVC | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | $58 | — | $58 | 1.47% |
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 | 119 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 57 | $515K |
| Dental | CALIFORNIA PHYSICIANS' SERVICE | 57 | $361K |
| Vision | CALIFORNIA PHYSICIANS' SERVICE | 57 | $361K |
| Life insurance | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | 120 | $4K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 57 | $361K |
| Other | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | 120 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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.