| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD SUITE 600 GLENDALE, CA 91203 | KAISER FOUNDATION HEALTH PLAN INC | $26K | — | $26K | 3.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | VISION SERVICE PLAN | $2K | — | $2K | 4.27% |
| SIRANOUSH SARA MKRTCHIAN3 | 2001 EAST FINANCIAL WAY SUITE 201 GLENDORA, CA 91741 | AFLAC | $2K | $116 | $2K | 10.11% |
| DAVID J REESOR3 Filed as: DAVID J. REESOR | 2001 EAST FINANCIAL WAY SUITE 201 GLENDORA, CA 91741 | AFLAC | $303 | $23 | $326 | 1.56% |
| THOMPSON & ASSOCIATES INSURANCE INC3 Filed as: THOMPSON AND ASSOC. INSURANCE INC. | 2001 FINANCIAL WAY, SUITE 201 GLENDORA, CA 91741 | AFLAC | $209 | $23 | $232 | 1.11% |
| MJ INSURANCE3 Filed as: JOSEPH BUZZELLO AND VARIOUS AGENTS | 9018 BALBOA BOULEVARD, SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $156 | — | $156 | 0.75% |
| BARRY MCPHERSON INC3 Filed as: BARRY MCPHERSON, INC. | 2211 MICHELSON DRIVE, SUITE 1150 IRVINE, CA 92612 | AFLAC | $45 | $23 | $68 | 0.33% |
| JOSEPH P CALARCO3 Filed as: JOSEPH EVANS | 4721 BROOKVIEW DRIVE WEST DES MOINES, IA 50265 | AFLAC | $68 | — | $68 | 0.33% |
| JUAN C FERLINI3 Filed as: JUAN C. FERLINI | 18821 NW 5TH STREET PEMBROKE PINES, FL 33029 | AFLAC | $39 | — | $39 | 0.19% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | THE LINCOLN NATIONAL INSURANCE COMPANY | $909 | $417 | $1K | 14.59% |
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 | 166 | 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) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 154 | $743K |
| Dental | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | 178 | $37K |
| Vision | VISION SERVICE PLAN | 136 | $38K |
| Life insurance | THE LINCOLN NATIONAL INSURANCE COMPANY | 168 | $9K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 154 | $743K |
| Other(2 contracts, 2 carriers) | AFLAC | 168 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 178 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.