| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOGAN INSURANCE SERVICES, INC.3 | P.O. BOX 7419 THOUSAND OAKS, CA 91359 | KAISER FOUNDATION HEALTH PLAN INC. | $23K | — | $23K | 2.20% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2801 TOWNSGATE RD STE 133 THOUSAND OAKS, CA 913615834 | KAISER FOUNDATION HEALTH PLAN INC. | $8K | — | $8K | 0.71% |
| MCCAREY INC3 Filed as: MCCAREY INC. | 965 MESA DRIVE CAMARILLO, CA 93010 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $2K | $5K | 12.11% |
| HOGAN INSURANCE SERVICES, INC.3 | 2801 TOWNSGATE BLVD. WESTLAKE, CA 91351 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 8.77% |
| MAGNONE FINANCIAL SERVICES CORP3 Filed as: MAGNONE FINANCIALSERVICES CORP | 3151 OUTRIGGER AVE VENTURA, CA 93001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 3.59% |
| ANDREA MARIE TIERCE3 | 2204 PLEASANTWOOD LANE ESCONDIDO, CA 92026 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $712 | $319 | $1K | 2.62% |
| R & B ENROLLMENT SERVICES INC3 Filed as: R&B ENROLLMENT SERVICES, INC. | P.O. BOX 3216 CRESTLINE, CA 92325 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $352 | $44 | $396 | 1.00% |
| PATRICK JOSEPH ANDERSON3 | 651 MESA DRIVE CAMARILLO, CA 93010 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $364 | $23 | $387 | 0.98% |
| CALIFORNIA INSURANCE ADVOCATES INC3 Filed as: CALIFORNIA INSURANCE ADVOCATES, INC | 41960 AVENIDA DE ANITA TEMECULA, CA 92592 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $191 | — | $191 | 0.48% |
| RICHARD C SUTHERLAND III3 Filed as: RICHARD C. SUTHERLAND III | 3601 FIGUEROA STREET GLENDALE, CA 91206 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | $3 | $14 | 0.04% |
| HOGAN INSURANCE SERVICES, INC.3 Filed as: HOGAN INSURANCE SERVICES INC. | P.O. BOX 7419 THOUSAND OAKS, CA 913597419 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 20.00% |
| HOGAN INSURANCE SERVICES, INC.3 Filed as: HOGAN INSURANCE SERVICES INC. | P.O. BOX 7419 THOUSAND OAKS, CA 913597419 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | — | $1K | 6.68% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2801 TOWNSGATE RD STE 133 THOUSAND OAKS, CA 91361 | UNITEDHEALTHCARE INSURANCE COMPANY | $290 | — | $290 | 1.32% |
| HOGAN INSURANCE SERVICES, INC.3 | 2801 TOWNSGATE 133 WESTLAKE VILLAGE, CA 91351 | GOLDEN WEST HEALTH PLAN, INC. | $2K | — | $2K | 9.18% |
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 | 248 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 249 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 248 | $1.1M |
| Dental | GOLDEN WEST HEALTH PLAN, INC. | 142 | $20K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 248 | $22K |
| Life insurance(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 248 | $84K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 46 | $39K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 248 | $1.1M |
| Other(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 248 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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.