| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALLAGHER | P.O. BOX 3009 ARLINGTON HEIGHTS, IL 60006 | KAISER FOUNDATION HEALTH PLAN INC | $30K | — | $30K | 4.48% |
| PCF INSURANCE SERVICES OF THE WEST Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 0.47% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 500 N SANTA FE VISALIA, CA 93292 | BLUE SHIELD OF CALIFORNIA | $18K | — | $18K | 4.44% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | BLUE SHIELD OF CALIFORNIA | $4K | — | $4K | 0.91% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALLAGHER | 500 N SANTA FE VISALIA, IL 93292 | DELTA DENTAL OF CALIFORNIA | $6K | — | $6K | 6.72% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 3.28% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 18201 VON KARMAN AVE STE 200 IRVINE, CA 92612 | UNITEDHEALTHCARE INSURANCE COMPANY | $8K | — | $8K | 11.49% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT SERVICES | PO BOX 3006 ARLINGTON HEIGHTS, IL 60006 | VISION SERVICE PLAN | $834 | — | $834 | 2.54% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | VISION SERVICE PLAN | $96 | — | $96 | 0.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALLAGHER | 500 N SANTA FE VISALIA, IL 93292 | DELTA DENTAL OF CALIFORNIA | $769 | — | $769 | 6.51% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | DELTA DENTAL OF CALIFORNIA | $411 | — | $411 | 3.48% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 21ST FL TWO PIERCE PLACE ITASCA, IL 60143 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $248 | — | $248 | 3.41% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALLAGHER & CO | 11060 WHITE ROCK RD RANCHO CORDOVA, CA 95670 | LANDMARK HEALTH PLAN | $734 | — | $734 | 54.53% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER C FOY ASSOCIATES INSURANCE SE | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | LANDMARK HEALTH PLAN | $612 | — | $612 | 45.47% |
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 | 133 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 133 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 133 | $1.1M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 73 | $98K |
| Vision | VISION SERVICE PLAN | 101 | $33K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 119 | $67K |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 119 | $67K |
| Other(3 contracts, 3 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 100 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 133 | — |
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.