| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC. | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | KAISER FOUNDATION HEALTH PLAN INC | $79K | $0 | $79K | 5.25% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC. | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | KAISER FOUNDATION HEALTH PLAN INC | $23K | $0 | $23K | 5.52% |
| TOTAL BENEFITS SOLUTIONS LLC3 Filed as: TOTAL BENEFITS SOLUTION LLC | 155 108TH AVE NE BELLEVUE, WA 98033 | AETNA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 4.85% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | 1166 AVE OF THE AMERICAS NEW YORK, NY 10036 | SUN LIFE ASSURANCE COMPANY OF CANADA | $19K | $0 | $19K | 9.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC. | 633 W 5TH STREET, 12TH FLOOR LOS ANGELES, CA 90071 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $3K | $0 | $3K | 2.60% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 5.05% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | PO BOX 9465 NEW YORK, NY 10087 | UNITEDHEALTHCARE INSURANCE COMPANY | $944 | $0 | $944 | 4.99% |
| LILY YAN3 | 5805 SEPULVEDA BLVD STE 700 SHERMAN OAKS, CA 91411 | AFLAC | $326 | $0 | $326 | 2.50% |
| AMY EVANS3 | 4932 N NORTH MAYWOOD AVE LOS ANGELES, CA 90041 | AFLAC | $157 | $0 | $157 | 1.20% |
| CAMERON J BELL3 | 2390 CRENSHAW BLVD STE 307 TORRANCE, CA 90501 | AFLAC | $99 | $0 | $99 | 0.76% |
| KANDI M MCINTYRE3 | 2000 MALLORY LN STE 130-378 FRANKLIN, TN 37067 | AFLAC | $91 | $0 | $91 | 0.70% |
| MINES INSURANCE SERVICES INC3 | 1519 BARTH AVE RICHMOND, CA 94806 | AFLAC | $79 | $0 | $79 | 0.61% |
| RICHARD J KUNZ3 | 601 MONTGOMERY ST STE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $74 | $0 | $74 | 0.57% |
| TADASHI KIMURA3 | 4900 N GRAND AVE APT 153 COVINA, CA 91724 | AFLAC | $73 | $0 | $73 | 0.56% |
| NOEMI OSUNA3 | 994 E 35TH ST LOS ANGELES, CA 90011 | AFLAC | $66 | $0 | $66 | 0.51% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BLVD STE 700 SHERMAN OAKS, CA 91411 | AFLAC | $63 | $0 | $63 | 0.48% |
| PATRICIA ANN BOSCH3 | 1561 E ORANGETHORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $54 | $0 | $54 | 0.41% |
| GUSTAVO ARRIAGA II3 | 5237 N RIVERSIDE DR STE 207 FORT WORTH, TX 76137 | AFLAC | $49 | $0 | $49 | 0.38% |
| JAMES F SCHLERNITZAUER3 | 1175 GEER RD STE D TURLOCK, CA 95380 | AFLAC | $49 | $0 | $49 | 0.38% |
| ALFRED RIETKERK3 | 3120 NE 47TH ST FT LAUDERDALE, FL 33308 | AFLAC | $48 | $0 | $48 | 0.37% |
| JOANNE MEYER3 | 4793 PARK ENCINO LN UNIT 239 ENCINO, CA 91436 | AFLAC | $37 | $0 | $37 | 0.28% |
| JAMES P BOADA3 | 25501 PURPLE SAGE LN SAN JUAN CAPISTRANO, CA 92675 | AFLAC | $30 | $0 | $30 | 0.23% |
| GEOFFREY MALAIS3 | 4834 SAWYER AVE CARPINTERIA, CA 93013 | AFLAC | $26 | $0 | $26 | 0.20% |
| JOSEPH A BUZZELLO3 | 14747 N NORTHSIGHT BLVD STE 111-454 SCOTTSDALE, AZ 85260 | AFLAC | $25 | $0 | $25 | 0.19% |
| ANA PATRICIA ARRIAGA3 | 980 ARLINGTON CIR WOODLAND, CA 95695 | AFLAC | $17 | $0 | $17 | 0.13% |
| JOY E GUNDERSON3 | 4531 VALLECITO LN YORBA LINDA, CA 92886 | AFLAC | $15 | $0 | $15 | 0.11% |
| DAVID SCOTT MANCHESTER3 | 6104 SE HENDERSON ST PORTLAND, OR 97206 | AFLAC | $14 | $0 | $14 | 0.11% |
| ENRIQUE OSUNA3 | 6720 CASE AVE NORTH HOLLYWOOD, CA 91606 | AFLAC | $9 | $0 | $9 | 0.07% |
| MICHAEL C WALKER3 Filed as: MICHAEL JAMES RHODD | 4160 GREEN VALLEY RD FAIRFIELD, CA 94534 | AFLAC | $6 | $0 | $6 | 0.05% |
| SCOTT W BLACKSHEAR3 | 181 OLETA WAY ST AUGUSTINE, FL 32095 | AFLAC | $5 | $0 | $5 | 0.04% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH ST FORT LAUDERDALE, FL 33334 | AFLAC | $3 | $0 | $3 | 0.02% |
| LARA K GRANDE3 | 117 MORNING MIST LN FRANKLIN, TN 37064 | AFLAC | $3 | $0 | $3 | 0.02% |
| ADAM H MICHAELS3 | 2922 CORDA LN LOS ANGELES, CA 90049 | AFLAC | $2 | $0 | $2 | 0.02% |
| AMANDA M GRIFFITH3 | 11400 SE 8TH ST STE 375 BELLEVUE, WA 98004 | AFLAC | $2 | $0 | $2 | 0.02% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $2 | $0 | $2 | 0.02% |
| OLENA K SHEA3 | 3 MITCHELL PL UNIT 18C NEW YORK, NY 10017 | AFLAC | $1 | $0 | $1 | 0.01% |
| VICTORIA L FLYNN3 Filed as: VICTORIA HOWARD | 1365 CAMINO PERAL # A MORAGA, CA 94556 | AFLAC | $1 | $0 | $1 | 0.01% |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 247 | $2.3M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 197 | $192K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 197 | $192K |
| Short-term disability | AFLAC | 23 | $13K |
| Prescription drug(6 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 247 | $2.3M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 197 | $206K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 247 | — |
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.