| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICES INC | 9122 GARDEN GROVE BLVD GARDEN GROVE, CA 92844 | NIPPON LIFE INSURANCE COMPANY OF AMERICA | $111K | — | $111K | 5.00% |
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICES, INC | 9122 GARDEN GROVE BLVD GARDEN GROVE, CA 92844 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 3.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INT'L OF CALIFORNIA INS SRVS | PO BOX 2158 RIVERSIDE, CA 92516 | KAISER FOUNDATION HEALTH PLAN INC | — | $9 | $9 | 0.00% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FINANCIAL | 12404 PARK CENTRAL DR STE 400S DALLAS, TX 75251 | AMERITAS LIFE INSURANCE CORP. | $6K | — | $6K | 3.00% |
| CIFS INC3 | 3435 WILSHIRE BLVD STE 3000 LOS ANGELES, CA 90010 | AMERITAS LIFE INSURANCE CORP. | $4K | — | $4K | 2.06% |
| ISU UNI & GOOD FRIEND INSURANCE3 | 3580 WILSHIRE BLVD #1510 LOS ANGELES, CA 90010 | EYEMED VISION CARE LLC | $3K | — | $3K | 9.16% |
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICES INC | 9122 GARDEN GROVE BLVD GARDEN GROVE, CA 92844 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICES INC | 9122 GARDEN GROVE BLVD GARDEN GROVE, CA 92844 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICES INC | 9122 GARDEN GROVE BLVD GARDEN GROVE, CA 92844 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| CHUN-HA INSURANCE SERVICES, INC.3 Filed as: CHUN-HA INSURANCE SERVICES INC | 9122 GARDEN GROVE BLVD GARDEN GROVE, CA 92844 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $696 | — | $696 | 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 | 242 | 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) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 543 | $196K |
| Vision | EYEMED VISION CARE LLC | 634 | $34K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 252 | $20K |
| Long-term disability(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 252 | $32K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 252 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 634 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.