| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | KAISER FOUNDATION HEALTH PLAN INC | $102K | $0 | $102K | 5.91% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | KAISER FOUNDATION HEALTH PLAN INC | $30K | $0 | $30K | 5.97% |
| TOTAL BENEFITS SOLUTIONS LLC3 Filed as: TOTAL BENEFITS SOLUTION LLC | 155 108TH AVE NE BELLEVUE, WA 98033 | AETNA LIFE INSURANCE COMPANY | $30K | $0 | $30K | 11.19% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 1166 AVE OF THE AMERICAS NEW YORK, NY 10036 | SUN LIFE ASSURANCE COMPANY OF CANADA | $14K | $0 | $14K | 6.56% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 350 CONSHOHOCKEN, PA 19428 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | $2K | $9K | 4.23% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $4K | $0 | $4K | 2.39% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | PO BOX 28031 NEW YORK, NY 10087 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | $0 | $3K | 5.50% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | PO BOX 28031 NEW YORK, NY 10087 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | $0 | $1K | 5.50% |
| TOTAL BENEFIT SOLUTIONS3 Filed as: TOTAL BENEFIT SOLUTIONS LLC | 155 108TH AVE NE BELLEVUE, WA 98033 | AETNA LIFE INSURANCE COMPANY | $2K | $102 | $2K | 11.45% |
| LILY YAN3 | 5805 SEPULVEDA BLVD STE 700 SHERMAN OAKS, CA 91411 | AFLAC | $2K | $49 | $2K | 12.11% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BLVD STE 700 SHERMAN OAKS, CA 91411 | AFLAC | $335 | $11 | $346 | 1.78% |
| AMY EVANS3 | 4932 N NORTH MAYWOOD AVE LOS ANGELES, CA 90041 | AFLAC | $170 | $0 | $170 | 0.87% |
| BOBBI PEMBERTON3 | 6345 DENNY AVE APT 6 NORTH HOLLYWOOD, CA 91606 | AFLAC | $152 | $0 | $152 | 0.78% |
| CAMERON J BELL3 | 2390 CRENSHAW BLVD STE 307 TORRANCE, CA 90501 | AFLAC | $107 | $0 | $107 | 0.55% |
| MINES INSURANCE SERVICES INC3 | 1519 BARTH AVE RICHMOND, CA 94806 | AFLAC | $87 | $0 | $87 | 0.45% |
| RICHARD J KUNZ3 | 601 MONTGOMERY ST STE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $80 | $0 | $80 | 0.41% |
| NOEMI OSUNA3 | 994 E 35TH ST LOS ANGELES, CA 90011 | AFLAC | $74 | $0 | $74 | 0.38% |
| KANDI M MCINTYRE3 | 8429 LORRAINE RD 385 LAKEWOOD RANCH, FL 34202 | AFLAC | $66 | $0 | $66 | 0.34% |
| PATRICIA ANN BOSCH3 | 6816 HOMAN CT CHINO, CA 91710 | AFLAC | $59 | $0 | $59 | 0.30% |
| GUSTAVO ARRIAGA II3 | 320 W CORK TREE DR ORANGE, CA 92865 | AFLAC | $53 | $0 | $53 | 0.27% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $52 | $0 | $52 | 0.27% |
| JAMES P BOADA3 | 25501 PURPLE SAGE LN SAN JUAN CAPISTRANO, CA 92675 | AFLAC | $32 | $0 | $32 | 0.16% |
| JOANNE MEYER3 | 4793 PARK ENCINO LN UNIT 239 ENCINO, CA 91436 | AFLAC | $27 | $0 | $27 | 0.14% |
| JOSEPH A BUZZELLO3 | 14747 N NORTHSIGHT BLVD STE 111-454 SCOTTSDALE, AZ 85260 | AFLAC | $26 | $0 | $26 | 0.13% |
| GEOFFREY MALAIS3 | PO BOX 280717 NORTHRIDGE, CA 91328 | AFLAC | $19 | $0 | $19 | 0.10% |
| ANA PATRICIA ARRIAGA3 | 980 ARLINGTON CIR WOODLAND, CA 95695 | AFLAC | $18 | $0 | $18 | 0.09% |
| JOY E GUNDERSON3 | 2824 SAINT ANDREWS RD FAIRFIELD, CA 94534 | AFLAC | $16 | $0 | $16 | 0.08% |
| DAVID SCOTT MANCHESTER3 | 11455 SW CARDINAL TER BEAVERTON, OR 97008 | AFLAC | $16 | $0 | $16 | 0.08% |
| ENRIQUE OSUNA3 | 6720 CASE AVE NORTH HOLLYWOOD, CA 91606 | AFLAC | $10 | $0 | $10 | 0.05% |
| MICHAEL C WALKER3 Filed as: MICHAEL JAMES RHODD | 4160 GREEN VALLEY RD FAIRFIELD, CA 94534 | AFLAC | $6 | $0 | $6 | 0.03% |
| SCOTT W BLACKSHEAR3 | 108 ALSACE CT PONTE VEDRA BEACH, FL 32082 | AFLAC | $6 | $0 | $6 | 0.03% |
| 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 | 0.01% |
| AMANDA M GRIFFITH3 | 11400 SE 8TH ST STE 375 BELLEVUE, WA 98004 | AFLAC | $2 | $0 | $2 | 0.01% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $2 | $0 | $2 | 0.01% |
| 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 | 214 | 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) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 240 | $2.8M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 211 | $212K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 211 | $212K |
| Short-term disability | AFLAC | 25 | $19K |
| Prescription drug(7 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 240 | $2.8M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 211 | $231K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 240 | — |
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.