| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN, INC. | — | $278 | $278 | 0.01% |
| IMA, INC.3 | P.O. BOX 102833 PASADENA, CA 91189 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $53K | $9K | $62K | 11.69% |
| IMA, INC.3 | P.O. BOX 102833 PASADENA, CA 91189 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $22K | $4K | $26K | 11.67% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN LIFE INSURANCE COMPANY | $21K | — | $21K | 19.75% |
| NEXT GENERATION ENROLLMENT INC.5 | P.O. BOX 1313 ORLANDO, FL 328021313 | METROPOLITAN LIFE INSURANCE COMPANY | — | $3K | $3K | 2.46% |
| WWW INSURANCE, LLC3 Filed as: WWW INSURANCE LLC | 430 E. DOUGLAS AVENUE SUITE 400 WICHITA, KS 672023408 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 1.38% |
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE DRIVE SUITE 500 SAN DIEGO, CA 921221238 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 1.08% |
| BRADLEY TAYLOR3 | 101 S. GARLAND AVENUE SUITE 203 ORLANDO, FL 328013277 | METROPOLITAN LIFE INSURANCE COMPANY | $705 | — | $705 | 0.66% |
| PLANSOURCE BENEFITS ADMINISTRATION3 Filed as: PLANSOURCE BENEFITS | ADMINISTRATION INC. 101 S. GARLAND AVENUE, SUITE 203 ORLANDO, CA 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $313 | — | $313 | 0.30% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVENUE SUITE 400, PARK 80, PLAZA 2 SADDLE BROOK, NJ 076635826 | METROPOLITAN LIFE INSURANCE COMPANY | — | $38 | $38 | 0.04% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | EYEMED VISION CARE | $3K | — | $3K | 3.38% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | GUARDIAN | $45K | $4K | $48K | 58.93% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | METROPOLITAN LIFE INSURANCE COMPANY | $17K | — | $17K | 22.79% |
| NEXT GENERATION ENROLLMENT INC.5 | P.O. BOX 1313 ORLANDO, FL 328021313 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 2.48% |
| WWW INSURANCE, LLC3 Filed as: WWW INSURANCE LLC | 430 E. DOUGLAS AVENUE SUITE 400 WICHITA, KS 672023408 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 1.79% |
| PLANSOURCE BENEFITS ADMINISTRATION3 Filed as: PLANSOURCE BENEFITS | ADMINISTRATION INC. 101 S. GARLAND AVENUE, SUITE 203 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $309 | — | $309 | 0.42% |
| IMA, INC.3 | P.O. BOX 102833 PASADENA, CA 91189 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | $968 | $10K | 16.68% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 91102 | METLIFE LEGAL PLANS | $4K | — | $4K | 9.30% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | $488 | $3K | 11.66% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | GUARDIAN | $2K | $730 | $2K | 14.27% |
| PACIFIC ADVISORS LLC3 | 2875 MICHELLE DRIVE SUITE 110 IRVINE, CA 92606 | GUARDIAN | $34 | — | $34 | 0.20% |
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 | 1,636 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 134 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,770 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 564 | $2.3M |
| Dental(2 contracts) | GUARDIAN | 837 | $99K |
| Vision | EYEMED VISION CARE | 2,382 | $83K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,744 | $534K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,262 | $222K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 367 | $2.2M |
| Other(6 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,613 | $313K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,382 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.