| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOUSKA INSURANCE SERVICES INC.0 | 1230 ROSECRANS AVE STE 260 MANHATTAN BEACH, CA 90266 | KAISER FOUNDATION HEALTH PLAN INC | $77K | $0 | $77K | 2.88% |
| HOUSKA INSURANCE SERVICES INC.0 | 1230 ROSECRANS AVE STE 260 MANHATTAN BEACH, CA 90266 | BLUE CROSS OF CALIFORNIA | $113K | $0 | $113K | 4.61% |
| HOUSKA INSURANCE SERVICES INC.0 | 1230 ROSECRANS AVE STE 260 MANHATTAN BEACH, CA 90266 | DELTA DENTAL OF CALIFORNIA | $47K | $0 | $47K | 10.00% |
| HOUSKA INSURANCE SERVICES INC.0 | 1230 ROSECRANS AVE STE 260 MANHATTAN BEACH, CA 90266 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.38% |
| HOUSKA INSURANCE SERVICES INC.3 | 1230 ROSECRANS AVE STE 260 MANHATTAN BEACH, CA 90266 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $15K | $0 | $15K | 30.00% |
| HOUSKA INSURANCE SERVICES INC.3 | 1230 ROSECRANS AVE STE 260 MANHATTAN BEACH, CA 90266 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $757 | $0 | $757 | 10.01% |
| HOUSKA INSURANCE SERVICES INC.0 | 1230 ROSECRANS AVE STE 260 MANHATTAN BEACH, CA 90266 | CALIFORNIA DENTAL NETWORK INC. | $572 | $0 | $572 | 9.99% |
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 | 438 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 438 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 489 | $5.1M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 396 | $472K |
| Vision | VISION SERVICE PLAN | 309 | $54K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 438 | $8K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 438 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 489 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.