| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN, INC | $22K | — | $22K | 2.06% |
| MARSH & MCLENNAN AGENCY LLC3 | LOCKBOX 740659 LOS ANGELES, CA 90074 | KAISER FOUNDATION HEALTH PLAN, INC | $19K | — | $19K | 1.74% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 911076024 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | — | $11K | 4.71% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: WORD & BROWN BENEFIT ADMINISTRATORS | 721 S. PARKER STREET SUITE 300 ORANGE, CA 928684732 | PRINCIPAL LIFE INSURANCE COMPANY | — | $8K | $8K | 3.58% |
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE DR. SUITE 500 SAN DIEGO, CA 921221238 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | — | $8K | 3.52% |
| JULIE JORDAN3 | 9171 TOWNE CENTRE DRIVE SAN DIEGO, CA 92122 | LANDMARK HEALTHPLAN | $1K | — | $1K | 10.00% |
| RONALD WRANGLIN3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | LANDMARK HEALTHPLAN | $1K | — | $1K | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 161 WASHINGTON ST. SUITE 1200 CONSHOHOCKEN, PA 19428 | BLUE CROSS OF CALIFORNIA | $3K | $1 | $3K | 32.97% |
| BEERE & PURVES INC3 Filed as: BEERE & PURVES INC. | 500 YGNACIO VALLEY ROAD SUITE 450 WALNUT CREEK, CA 94596 | BLUE CROSS OF CALIFORNIA | — | $2K | $2K | 23.95% |
| IMA, INC.3 | 1705 17TH ST. SUITE 100 DENVER, CO 80202 | BLUE CROSS OF CALIFORNIA | $2K | — | $2K | 20.26% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC | 204 | $1.1M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $236K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $226K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $226K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $226K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $226K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC | 204 | $1.1M |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 250 | $237K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 250 | — |
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.