| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | KAISER FOUNDATION HEALTH PLAN INC | $114K | $0 | $114K | 3.14% |
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | WESTERN HEALTH ADVANTAGE | $49K | $0 | $49K | 4.58% |
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 5.00% |
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.66% |
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $0 | $8K | 15.00% |
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $15K | $0 | $15K | 30.00% |
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | DELTA DENTAL OF CALIFORNIA | $46K | $0 | $46K | 100.00% |
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $727 | $0 | $727 | 10.00% |
| HOUSKA INSURANCE SERVICES INC.3 | 111 SOUTH SEPULVEDA BOULEVARD SUITE 250 MANHATTAN BEACH, CA 90266 | CALIFORNIA DENTAL NETWORK INC | $565 | $0 | $565 | 10.00% |
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 | 424 | 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) | 424 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 626 | $4.7M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 404 | $52K |
| Vision | VISION SERVICE PLAN | 319 | $52K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 424 | $57K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 93 | $51K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 115 | $68K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 626 | $4.7M |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 424 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 626 | — |
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."
No prospect flags tripped on this filing.