| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| POMS & ASSOCIATES INSURANCE BROKERS3 | 4500 PARK GRANADA STE 206 CALABASAS, CA 91302 | KAISER FOUNDATION HEALTH PLAN INC. | $32K | — | $32K | 7.01% |
| POMS AND ASSOCIATES INS. BROKERS3 Filed as: POMS & ASSOC INSURANCE BROKERS | P.O. BOX 80517 CITY OF INDUSTRY, CA 91716 | AETNA LIFE INSURANCE COMPANY | $8K | — | $8K | 5.94% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA RD WESTLAKE VILLAGE, CA 91361 | AETNA LIFE INSURANCE COMPANY | $4K | — | $4K | 3.22% |
| POMS AND ASSOCIATES INS. BROKERS3 Filed as: POMS & ASSOC INSURANCE BROKERS | P.O. BOX 80517 CITY OF INDUSTRY, CA 91716 | AETNA HEALTH OF CALIFORNIA, INC. | $4K | — | $4K | 5.36% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | AETNA HEALTH OF CALIFORNIA, INC. | $2K | — | $2K | 2.90% |
| POMS & ASSOCIATES INSURANCE BROKERS3 | 4500 PARK GRANADA STE 206 CALABASAS, CA 91302 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 5.59% |
| POMS & ASSOCIATES INSURANCE BROKERS3 Filed as: POMS & ASSOCIATES | 4500 PARK GRANADA 206 CALABASAS, CA 91302 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 12.80% |
| ENROLLEASE3 | 7979 OLD GEORGETOWN RD, STE 300 BETHESDA, MA 20814 | METROPOLITAN LIFE INSURANCE COMPANY | — | $279 | $279 | 2.02% |
| POMS & ASSOCIATES INSURANCE BROKERS3 Filed as: POMS & ASSOCIATES | 4500 PARK GRANADA 206 CALABASAS, CA 91302 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $28 | — | $28 | 5.81% |
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 | 318 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 318 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 72 | $587K |
| Dental(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 117 | $502K |
| Vision(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 318 | $466K |
| Life insurance(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 318 | $466K |
| Other(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 318 | $466K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 318 | — |
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.