| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS FINANCIAL SER | 4851 LBJ FREEWAY STE 100 DALLAS, TX 75244 | AETNA HEALTH INC | $38K | $0 | $38K | 2.53% |
| CIFS INC3 | 3435 WILSHIRE BLVD STE 3000 LOS ANGELES, CA 90010 | AETNA HEALTH INC | $28K | $0 | $28K | 1.84% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS FINANCIAL SER | 4851 LBJ FREEWAY STE 100 DALLAS, TX 75244 | AETNA LIFE INSURANCE COMPANY | $11K | $0 | $11K | 2.62% |
| CIFS INC3 | 3435 WILSHIRE BLVD STE 3000 LOS ANGELES, CA 90010 | AETNA LIFE INSURANCE COMPANY | $11K | $0 | $11K | 2.58% |
| CIFS INC3 | 3435 WILSHIRE BLVD STE 3000 LOS ANGELES, CA 90010 | KAISER FOUNDATION HEALTH PLAN INC | $5K | $0 | $5K | 3.03% |
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICES INC | 12912 BROOKHURST ST #480 GARDEN GROVE, CA 92840 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $7K | $0 | $7K | 5.15% |
| CIFS INC3 | 3450 WILSHIRE BLVD STE 3000 LOS ANGLES, CA 90010 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 5.75% |
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICE INC | 9122 GARDEN GROVE BLVD GARDEN GROVE, CA 92844 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $877 | $0 | $877 | 10.00% |
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICE INC | 9122 GARDEN GROVE BLVD GARDEN GROVE, CA 92844 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $577 | $0 | $577 | 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 | 210 | 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) | 213 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 525 | $451K |
| Dental(2 contracts, 2 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 192 | $199K |
| Vision | AETNA LIFE INSURANCE COMPANY | 525 | $427K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 213 | $73K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 213 | $76K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 213 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 525 | — |
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.