| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES STEVEN DIETZ3 | 5626 MEREDITH AVE SAN DIEGO, CA 921204808 | KAISER FOUNDATION HEALTH PLAN INC | $59K | $0 | $59K | 4.98% |
| WGB-RABY LP3 Filed as: WGB-RABY, L.P | 15901 RED HILL AVE STE 100 TUSTIN, CA 927807318 | KAISER FOUNDATION HEALTH PLAN INC | $76 | $0 | $76 | 0.01% |
| JAMES STEVEN DIETZ3 | 14169 LOCUST LN NAMA, ID 836869111 | UNITEDHEALTHCARE INSURANCE COMPANY | $8K | $0 | $8K | 4.57% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $0 | $3K | 1.83% |
| JAMES S DIETZ3 | 5008 N ROTHMANS AVE BOISE, ID 837131297 | HUMANA INSURANCE COMPANY | $5K | $0 | $5K | 3.39% |
| JAMES S DIETZ3 | 5626 MEREDITH AVE SAN DIEGO, CA 921204808 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $0 | $9K | 9.74% |
| WGB-RABY LP3 Filed as: WGB-RABY, L.P | 15901 RED HILL AVE STE 100 TUSTIN, CA 92780 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $50 | $0 | $50 | 0.05% |
| JAMES S DIETZ3 | 5626 MEREDITH AVE SAN DIEGO, CA 921204808 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 9.93% |
| WGB-RABY LP3 Filed as: WGB-RABY, L.P | 15091 RED HILL AVENUE STE 100 TUSTIN, CA 92780 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $19 | $0 | $19 | 0.07% |
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 | 227 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 243 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 230 | $1.4M |
| Dental | HUMANA INSURANCE COMPANY | 225 | $159K |
| Vision | HUMANA INSURANCE COMPANY | 225 | $159K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 228 | $121K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 228 | $92K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 228 | $121K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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.