| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES STEVEN DIETZ3 | 5626 MEREDITH AVE SAN DIEGO, CA 921204808 | KAISER FOUNDATION HEALTH PLAN INC | $96K | $0 | $96K | 4.51% |
| JAMES S DIETZ3 | 5008 N ROTHMANS AVE BOISE, ID 837131297 | HUMANA INSURANCE COMPANY | $5K | $0 | $5K | 2.45% |
| JAMES STEVEN DIETZ3 | 14169 LOCUST LN NAMA, ID 836869111 | UNITEDHEALTHCARE INSURANCE COMPANY | $9K | $0 | $9K | 5.00% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | $0 | $4K | 2.00% |
| JAMES S DIETZ3 | 5626 MEREDITH AVE SAN DIEGO, CA 921204808 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | $0 | $12K | 9.58% |
| JAMES S DIETZ3 | 5626 MEREDITH AVE SAN DIEGO, CA 921204808 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 9.28% |
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 | 267 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 269 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 271 | $2.3M |
| Dental | HUMANA INSURANCE COMPANY | 313 | $218K |
| Vision | HUMANA INSURANCE COMPANY | 313 | $218K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 329 | $176K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 329 | $130K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 329 | $176K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 329 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.