| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLAN INC. | $40K | — | $40K | 5.00% |
| GALLAGHER BENEFIT SERVICES, INC. Filed as: ARTHUR J GALLAGHER | P.O. BOX 3009 ARLINGTON HEIGHTS, IL 60006 | KAISER FOUNDATION HEALTH PLAN INC. | — | $2K | $2K | 0.28% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (CIGNA) | $32K | $120 | $32K | 6.02% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | CIGNA HEALTHCARE OF CALIFORNIA INC | $19K | — | $19K | 6.00% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | UNITED CONCORDIA INSURANCE COMPANY | $5K | — | $5K | 5.99% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER C FOY | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | UNITED CONCORDIA INSURANCE COMPANY | $3K | — | $3K | 3.14% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | SYMETRA LIFE INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | EYEMED VISION CARE | $986 | — | $986 | 8.53% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA INC. | $460 | — | $460 | 5.81% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER C FOY | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA INC. | $257 | — | $257 | 3.25% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 21ST FLOOR TWO PIERCE PLACE ITASCA, FL 60143 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $218 | — | $218 | 3.11% |
| JERRY HASSON4 | 850 E OCEAN BLVD UNIT 908 LONG BEACH, CA 90802 | PRE PAID LEGAL SERVICES DBA LEGALSHIELD | $2K | — | $2K | 38.49% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SERVICES | 6200 CANOGA AVENUE #325 WOODLAND HILLS, CA 91367 | PRE PAID LEGAL SERVICES DBA LEGALSHIELD | $362 | — | $362 | 7.08% |
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 | 202 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 202 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 120 | $1.6M |
| Dental(2 contracts, 2 carriers) | UNITED CONCORDIA INSURANCE COMPANY | 93 | $91K |
| Vision | EYEMED VISION CARE | 202 | $12K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 119 | $55K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 119 | $55K |
| Other(3 contracts, 3 carriers) | SYMETRA LIFE INSURANCE COMPANY | 119 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 202 | — |
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.