| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RHONDA J SHEARL INSURANCE SALES3 | 9733 TOPANGA CANYON BLVD. #307 CHATSWORTH, CA 91313 | KAISER FOUNDATION HEALTH PLAN INC | $23K | — | $23K | 3.22% |
| PG INSURANCE SERVICES INCORPORATED3 | 23232 PERALTA DR STE 209 LAGUNA HILLS, CA 92653 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.27% |
| RHONDA J SHEARL INSURANCE SALES3 | 14252 CULVER DRIVE STE A-531 IRVINE, CA 92604 | UNITEDHEALTHCARE INSURANCE COMPANY | $17K | $9K | $26K | 4.88% |
| PG INSURANCE SERVICES INCORPORATED3 | 23232 PERALTA DR STE 209 LAGUNA HILLS, CA 92653 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 0.29% |
| RHONDA J SHEARL INSURANCE SALES3 | 14252 CULVER DRIVE STE A-531 IRVINE, CA 92604 | HUMANA INSURANCE COMPANY | $2K | $291 | $3K | 3.63% |
| PG INSURANCE SERVICES INCORPORATED3 | 23232 PERALTA DR STE 209 LAGUNA HILLS, CA 92653 | HUMANA INSURANCE COMPANY | $191 | — | $191 | 0.27% |
| RHONDA J SHEARL INSURANCE SALES3 | 14252 CULVER DRIVE STE A-531 IRVINE, CA 92604 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 5.80% |
| PG INSURANCE SERVICES INCORPORATED3 | 23232 PERALTA DR STE 209 LAGUNA HILLS, CA 92653 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $531 | — | $531 | 1.20% |
| RHONDA J SHEARL INSURANCE SALES3 | 14252 CULVER DRIVE STE A-531 IRVINE, CA 92604 | HUMANADENTAL INSURANCE COMPANY | $328 | $209 | $537 | 5.29% |
| PG INSURANCE SERVICES INCORPORATED3 | 23232 PERALTA DR STE 209 LAGUNA HILLS, CA 92653 | HUMANADENTAL INSURANCE COMPANY | $27 | — | $27 | 0.27% |
| RHONDA J SHEARL INSURANCE SALES3 | 53 LA RONDA IRVINE, CA 92606 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $52 | — | $52 | — |
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 | 108 | 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) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 94 | $1.3M |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 54 | $81K |
| Vision(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 94 | $797K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $66K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 36 | $6K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $66K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 107 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.