| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ECHO NEO NINJA INS SOLUTIONS3 Filed as: ECHO NEO NINJA INSURANCE SOLUTIONS | 4500 PARK GRANADA SUITE 202 CALABASAS, CA 91302 | KASIER FOUNDATION HEALTH PLAN, INC. | $15K | — | $15K | 4.76% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 2677 NORTH MAIN STREET SUITE 800 SANTA ANA, CA 92705 | KASIER FOUNDATION HEALTH PLAN, INC. | $5K | — | $5K | 1.49% |
| RUSSELL L WARYE3 Filed as: RUSSELL NAKAMURA | 4500 PARK GRANADA BOULEVARD SUITE 202 CALABASAS, CA 91302 | DELTA | $12K | — | $12K | 10.00% |
| RUSSELL S NAKAMURA3 | 4500 PARK GRANADA BOULEVARD SUITE 2 CALABASAS, CA 91302 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 9.89% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVI | 5114 POINT FOSDICK DRIVE SUITE F41 GIG HARBOR, WA 98335 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 5.55% |
| RUSSELL L WARYE3 Filed as: RUSSELL NAKAMURA | 4500 PARK GRANADA BOULEVARD SUITE 202 CALABASAS, CA 91302 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $35K | — | $35K | 295.58% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 2677 NORTH MAIN STREET SANTA ANA, CA 92705 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | — | $12K | $12K | 96.41% |
| RUSSELL S NAKAMURA3 | 4500 PARK GRANADA BOULEVARD SUITE 2 CALABASAS, CA 91302 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 18.85% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVI | 5114 POINT FOSDICK DRIVE SUITE F41 GIG HARBOR, WA 98335 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $484 | $351 | $835 | 9.53% |
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 | 139 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 66 | $866K |
| Dental | DELTA | 142 | $122K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 94 | $12K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 58 | $9K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 202 | $22K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 58 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 202 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.