| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANONE SIMPSON INSURANCE SERVICES3 | 5550 TOPANGA CANYON BLVD., STE. 310 WOODLAND HILLS, CA 91367 | CALIFORNIA PHYSICIANS' SERVICE | $26K | $0 | $26K | 1.37% |
| KERN SCHOOLS FEDERAL CREDIT UNION1 | PO BOX 9506 BAKERSFIELD, CA 933899506 | KAISER FOUNDATION HEALTH PLAN INC. | $37K | $0 | $37K | 2.53% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE SIMPSON INS. SVCS. LLC | 5550 TOPANGA CANYON BLVD., STE. 310 WOODLAND HILLS, CA 913676478 | KAISER FOUNDATION HEALTH PLAN INC. | $37K | $0 | $37K | 2.53% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | PO BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC. | $0 | $725 | $725 | 0.05% |
| KERN SCHOOLS FEDERAL CREDIT UNION1 | 11500 BOLTHOUSE DR. BAKERSFIELD, CA 93311 | PREMIER ACCESS INSURANCE COMPANY | $4K | $0 | $4K | 1.37% |
| MONTAGE INSURANCE SOLUTIONS3 | 5550 TOPANGA CANYON BLVD., STE. 310 WOODLAND HILLS, CA 91367 | PREMIER ACCESS INSURANCE COMPANY | $4K | $0 | $4K | 1.37% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY INSURANCE BROKERS | PO BOX 6030 PASADENA, CA 91102 | PREMIER ACCESS INSURANCE COMPANY | $4 | $0 | $4 | 0.00% |
| MONTAGE INSURANCE SOLUTIONS3 | 5550 TOPANGA CANYON BLVD., STE. 310 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $271 | $3K | 5.54% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | PO BOX 6030 PASADENA, CA 911026030 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $578 | $578 | 1.15% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE SIMPSON INSURANCE | 5550 TOPANGA CANYON BLVD. SUITE 310 WOODLAND HILLS, CA 91367 | GERBER LIFE INSURANCE CO. | $2K | $0 | $2K | 6.43% |
| MONTAGE INSURANCE SOLUTIONS3 | 5550 TOPANGA CANYON BLVD., STE. 310 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $4K | $190 | $4K | 13.15% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | PO BOX 6030 PASADENA, CA 911026030 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $340 | $340 | 1.17% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE SIMPSON INS. SVCS. LLC | DBA MONTAGE INSURANCE SOLUTIONS 5550 TOPANGA CYN. BLVD., STE. 310 WOODLAND HILLS, CA 91367 | MANAGED HEALTH NETWORK | $1K | $0 | $1K | 10.00% |
| MONTAGE INSURANCE SOLUTIONS3 | 5550 TOPANGA CANYON BLVD., STE. 310 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $160 | $21 | $181 | 5.65% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | PO BOX 6030 PASADENA, CA 911026030 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $41 | $41 | 1.28% |
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 | 402 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 407 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 320 | $3.3M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 682 | $267K |
| Vision | GERBER LIFE INSURANCE CO. | 255 | $31K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 402 | $50K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 402 | $29K |
| Prescription drug(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 320 | $3.3M |
| Other(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 430 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 682 | — |
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."
No prospect flags tripped on this filing.