| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC. | $28K | $18 | $28K | 3.34% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 913614026 | KAISER FOUNDATION HEALTH PLAN INC. | $17K | — | $17K | 2.00% |
| DMJ INSURANCE SERVICES INC.3 | 333 N. LANTANA ST. SUITE 295 CAMARILLO, CA 930109009 | KAISER FOUNDATION HEALTH PLAN INC. | $14K | — | $14K | 1.67% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | BLUE CROSS OF CALIFORNIA | $9K | — | $9K | 2.84% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | BLUE CROSS OF CALIFORNIA | — | $7K | $7K | 2.30% |
| DMJ INSURANCE SERVICES INC.3 | 333 N. LANTANA 295 CAMARILLO, CA 93010 | BLUE CROSS OF CALIFORNIA | $7K | — | $7K | 2.27% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | GUARDIAN | $6K | — | $6K | 4.09% |
| DMJ INSURANCE SERVICES INC.3 | 333 N. LANTANA 295 SUITE 295 CAMARILLO, CA 93010 | GUARDIAN | $6K | — | $6K | 3.49% |
| ENROLLEASE3 | 660 YORK STREET SUITE 102 SAN FRANCISCO, CA 94110 | GUARDIAN | -$6K | — | -$6K | -3.54% |
| CYNTHIA LUQUIN3 | 2001 E. FINANCIAL WAY SUITE 202 GLENDORA, CA 91741 | AFLAC | $3K | $82 | $3K | 8.63% |
| KIMBERLY O. KWOK3 Filed as: KIMBERLY KWOK | 2044 COBBLEFIELD WAY GLENDORA, CA 91740 | AFLAC | $918 | $55 | $973 | 3.02% |
| DMJ INSURANCE SERVICES INC.3 | 333 N. LANTANA ST. SUITE 295 CAMARILLO, CA 93010 | AFLAC | $888 | — | $888 | 2.76% |
| BRADLEY IAN WITT3 | 1621 RIDGEWOOD DR. CAMARILLO, CA 93012 | AFLAC | $320 | — | $320 | 0.99% |
| DAVID J REESOR3 Filed as: DAVID J. REESOR | 1615 WILSON AVE. UPLAND, CA 91784 | AFLAC | $100 | — | $100 | 0.31% |
| ANDRES ORLANDO TRUJILLO3 | 21338 MONETA AVE. CARSON, CA 90745 | AFLAC | $71 | $23 | $94 | 0.29% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | AFLAC | $86 | — | $86 | 0.27% |
| ARLICE C. MARSHALL3 | 23709 BLACKBIRD CIR. MORENO VALLEY, CA 92557 | AFLAC | $61 | $6 | $67 | 0.21% |
| JOSEPH D. HUGHES3 | 1809 ALTA ST. LA HABRA, CA 90631 | AFLAC | $63 | — | $63 | 0.20% |
| TOAN HUU PHAM3 | 546 S. HARBOR BLVD. SANTA ANA, CA 92704 | AFLAC | $63 | — | $63 | 0.20% |
| DAVID M COUGHLIN3 Filed as: DAVID M. COUGHLIN | 1400 SUN COPPER DR. LAS VEGAS, NV 89117 | AFLAC | $47 | — | $47 | 0.15% |
| JONATHAN ALI HAJIMOMEN3 | 5752 WHISTLER CIR. HUNTINGTON BEACH, CA 92649 | AFLAC | $42 | — | $42 | 0.13% |
| SHEM J BOSTICK3 Filed as: SHEM J. BOSTICK | 1620 S. DITMAR ST. OCEANSIDE, CA 92054 | AFLAC | $35 | — | $35 | 0.11% |
| MARIAN A LOPEZ3 Filed as: MARIAN A. LOPEZ | 13322 CITICOURT LN. WHITTIER, CA 90602 | AFLAC | $29 | — | $29 | 0.09% |
| TABELLO INS SERVICES INC3 Filed as: TABELLO INS. SERVICES INC. | 1461 SIERRA VISTA DR. LA HABRA, CA 90631 | AFLAC | $29 | — | $29 | 0.09% |
| WILLA MAY ROBINSON3 | 12458 AUTUMN BREEZE ST. CERRITOS, CA 90703 | AFLAC | $24 | — | $24 | 0.07% |
| DAVID ANDREW PEPIN3 | 4176 STATE HIGHWAY M35 ESCANABA, MI 49829 | AFLAC | $22 | — | $22 | 0.07% |
| G SCOTT COOKE3 Filed as: G. SCOTT COOKE | 2832 NE 17TH AVE. WILTON MANORS, FL 33334 | AFLAC | $20 | — | $20 | 0.06% |
| L MATTHEW SPALDING3 Filed as: L. MATTHEW SPALDING | 847 N. HOLLYWOOD WAY SUITE 204 BURBANK, CA 91505 | AFLAC | $20 | — | $20 | 0.06% |
| JOY E GUNDERSON3 Filed as: JOY E. GUNDERSON | 2824 SAINT ANDREWS RD. FAIRFIELD, CA 94534 | AFLAC | $19 | — | $19 | 0.06% |
| CHRISTINE M. SEKAS3 | 80 W. SIERRA MADRE BLVD. PMB 398 SIERRA MADRE, CA 91024 | AFLAC | $16 | — | $16 | 0.05% |
| BARRY MCPHERSON INC3 Filed as: BARRY MCPHERSON INC. | 3928 IRONBARK WAY MCKINNEY, TX 75071 | AFLAC | $12 | — | $12 | 0.04% |
| STEVEN R. JOHNSON3 | 2239 W. 190TH ST. TORRANCE, CA 90504 | AFLAC | $9 | — | $9 | 0.03% |
| KATHY DUFFY INSURANCE SERVICES3 | 10442 ORMOND ST. SHADOW HILLS, CA 91040 | AFLAC | $8 | — | $8 | 0.02% |
| KENNETH SOTHERLUND3 | 1561 E. ORANGETHORPE AVE. SUITE 200 FULLERTON, CA 92831 | AFLAC | $7 | — | $7 | 0.02% |
| DAVID JAMES RANDALL3 Filed as: DAVID TUCH | 3513 BROOKRIDGE RD. DUARTE, CA 91010 | AFLAC | $7 | — | $7 | 0.02% |
| DALE IRA DAVIS3 | 5892 CEDARCREEK LN LEXINGTON, KY 40515 | AFLAC | $4 | — | $4 | 0.01% |
| OWEN JOHNSTON3 | 1300 FAIRHAVEN AVE. APT. 3 SANTA ANA, CA 92705 | AFLAC | $4 | — | $4 | 0.01% |
| CARLOS F ENRIQUEZ3 Filed as: CARLOS F. ENRIQUEZ | 5120 W. GOLDLEAF CIR. SUITE 160 LOS ANGELES, CA 90056 | AFLAC | $4 | — | $4 | 0.01% |
| MARSHALL CHARLES MCDONALD3 | 17031 SUMMERS WALK BLVD. DAVIDSON, NC 28036 | AFLAC | $4 | — | $4 | 0.01% |
| TODD V MASON3 Filed as: TODD V. MASON | 1607 W. PACIFIC COAST HWY APT. 144 WILMINGTON, CA 90744 | AFLAC | $3 | — | $3 | 0.01% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 2922 CORDA LN LOS ANGELES, CA 90049 | AFLAC | $3 | — | $3 | 0.01% |
| CYNTHIA LUQUIN3 Filed as: CYNTHIA LOCKIE | 1033 E. COMSTOCK AVE. GLENDORA, CA 91741 | AFLAC | $2 | — | $2 | 0.01% |
| JOANNA G MATHERLY3 Filed as: JOANNA G. MATHERLY | 4581 MAJESTIC MEADOWS DR. ARRINGTON, TN 37014 | AFLAC | $2 | — | $2 | 0.01% |
| JOESPH A. BUZZELLO3 | 14747 N. NORTHSIGHT BLVD. SUITE 111-454 SCOTTSDALE, AZ 85260 | AFLAC | $2 | — | $2 | 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 | 165 | 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) | 165 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 134 | $1.1M |
| Dental(2 contracts, 2 carriers) | GUARDIAN | 166 | $191K |
| Vision(2 contracts, 2 carriers) | GUARDIAN | 166 | $191K |
| Life insurance(2 contracts, 2 carriers) | GUARDIAN | 166 | $191K |
| Short-term disability | AFLAC | 31 | $32K |
| Long-term disability | GUARDIAN | 166 | $159K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 134 | $1.1M |
| Other(2 contracts, 2 carriers) | GUARDIAN | 166 | $191K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 166 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.