| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCE DIMENSIONS, INC.3 | 3547 OLD CONEJO ROAD NEWBURY PARK, CA 91320 | KAISER PERMANENTE | $514 | — | $514 | 0.22% |
| CLAUDIA S LARSEN3 Filed as: CLAUDIA SUE LARSEN | 4995 TORERO ROAD SANTA BARBARA, CA 93111 | KAISER PERMANENTE | $514 | — | $514 | 0.22% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXE DRIVE DAYTON, OH 45439 | AETNA LIFE INSURANCE COMPANY | $12K | — | $12K | 5.04% |
| INSURANCE DIMENSIONS, INC.3 Filed as: INSURANCE DIMENSIONS INC. | 3547 OLD CONEJO ROAD SUITE 103 NEWBURY PARK, CA 91320 | AETNA LIFE INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| CLAUDIA S LARSEN3 | 4995 TORERO ROAD SANTA BARBARA, CA 93111 | AETNA LIFE INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXIE DRIVE DAYTON, OH 45439 | KAISER PERMANENTE | $5K | — | $5K | 2.77% |
| FEAR CORPORATION3 | 2140 PROFESSIONAL DRIVE ROSEVILLE, CA 95661 | KAISER PERMANENTE | $1 | — | $1 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER AGENCY INC | 655 EDEN PARK DRIVE #100 CINCINNATI, OH 45202 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 1.61% |
| INSURANCE DIMENSIONS, INC.3 | 3547 OLD CONEJO ROAD NEWBURY PARK, CA 91320 | KAISER PERMANENTE | $160 | — | $160 | 0.21% |
| CLAUDI LARSEN3 | 4995 TORERO ROAD SANTA BARBARA, CA 93111 | KAISER PERMANENTE | $160 | — | $160 | 0.21% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXIE DRIVE DAYTON, OH 45439 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 7.09% |
| INSURANCE DIMENSIONS, INC.3 Filed as: INSURANCE DIMENSIONS INC. | 3537 OLD CONEJO ROAD SUITE 103 NEWBURY PARK, CA 91320 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1 | — | $1 | 0.01% |
| ANDRAOS CAPITAL MANAGEMENT3 | 655 NORTH CENTRAL AVENUE GLENDALA, CA 91203 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1 | — | $1 | 0.01% |
| SHEPLER & FEAR GENERAL AGENCY3 Filed as: SHEPLER & FEAR | POST OFFICE BOX 2108 AUBURN, CA 95604 | PREMIER ACCESS | $380 | — | $380 | 3.92% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXIE DRIVE DAYTON, OH 45439 | PREMIER ACCESS | $237 | — | $237 | 2.45% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXIE DRIVE DAYTON, OH 45439 | GUARDIAN | $599 | — | $599 | 7.00% |
| LIFETIME FINANCIAL3 | 419 PLUM STREET CINCINNATI, OH 45202 | GUARDIAN | $12 | — | $12 | 0.14% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MCGOHAN BRABENDER, INC. | 3931 SOUTH DIXIE DRIVE DAYTON, OH 45439 | NATIONAL GUARDINA LIFE INSURANCE COMPANY | $176 | — | $176 | 12.84% |
| SHEPLER & FEAR GENERAL AGENCY3 Filed as: SHEPLER & FEAR | 2140 PROFESSIONAL DRIVE ROSEVILLE, CA 95661 | NATIONAL GUARDINA LIFE INSURANCE COMPANY | $73 | — | $73 | 5.32% |
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 | 1,390 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,393 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER PERMANENTE | 1,511 | $681K |
| Dental(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 1,511 | $249K |
| Vision(2 contracts, 2 carriers) | PREMIER ACCESS | 740 | $11K |
| Life insurance | AETNA LIFE INSURANCE COMPANY | 1,511 | $231K |
| Short-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $17K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 179 | $17K |
| Other | AETNA LIFE INSURANCE COMPANY | 1,511 | $231K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,511 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.