| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL OF CA INS SVCS INC | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | KAISER FOUNDATION HEALTH PLAN INC. | $56K | $499 | $57K | 5.47% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL OF CA INS SVCS INC | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | DELTA DENTAL OF CALIFORNIA | $2K | — | $2K | 4.01% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL OF CA INS SVCS INC | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | DELTA DENTAL OF CALIFORNIA | $4K | — | $4K | 10.02% |
| BRADLEY A. WILSON3 | 23716 BIRTCHER DR LAKE FOREST, CA 92630 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 8.29% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER C FOY AND ASSOC INS SVCS | 6200 CANOGA AVE #325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $547 | — | $547 | 1.71% |
| BRADLEY A. WILSON3 | 23716 BIRTCHER DR LAKE FOREST, CA 92630 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 8.30% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER C FOY AND ASSOC INS SVCS | 6200 CANOGA AVE #325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $461 | — | $461 | 1.70% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTL OF CA INS SVCS INC | 4371 LATHAM STREET, SUITE 101 RIVERSIDE, CA 92501 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $2K | — | $2K | 9.99% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS AND FINANCIAL SVCS | 4851 LBJ FREEWAY #1100 DALLAS, TX 75244 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $0 | $1K | $1K | 4.99% |
| BRADLEY A. WILSON3 | 23716 BIRTCHER DRIVE LAKE FOREST, IL 92630 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $697 | — | $697 | 10.00% |
| BRADLEY A. WILSON3 | 23716 BIRTCHER DR LAKE FOREST, CA 92630 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $540 | — | $540 | 11.19% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER C FOY AND ASSOC INS SVCS | 6200 CANOGA AVE #325 WOODLAND HILLS, CA 91367 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $99 | — | $99 | 2.05% |
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 | 340 | 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) | 340 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 220 | $1.0M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 204 | $94K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 273 | $22K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 194 | $32K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 194 | $5K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 194 | $27K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 220 | $1.0M |
| Other(3 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 340 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 340 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.