| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SANDRA L KAWANO3 Filed as: SANDRA LEE KAWANO | 31 PELL STREET NEW YORK, NY 10013 | AETNA LIFE INSURANCE CO. | $6K | — | $6K | 4.94% |
| STRATEGIC INSURANCE PARTNERS, LLC3 Filed as: STRATEGIC INSURANCE PARTNERS | 750 THE CITY DR. S SUITE 450 ORANGE, CA 92868 | AETNA LIFE INSURANCE CO. | $3K | — | $3K | 2.52% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC | 301 E COLORADO BLVD SUITE 200 PASADENA, CA 31101 | AETNA LIFE INSURANCE CO. | $2K | — | $2K | 1.56% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS CORP LLC | 1540 CORNERSTONE BLVD SUITE 230 DAYTONA BEACH, FL 32117 | AETNA LIFE INSURANCE CO. | $997 | — | $997 | 0.86% |
| ASSUREDPARTNERS3 Filed as: UNITED AGENCIES INC | 100 N FIRST ST STE 301 BURBANK, CA 91502 | KAISER FOUNDATION HEALTH PLAN, INC. | $15K | — | $15K | — |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP | 1540 CORNERSTONE BLVD SUITE 230 DAYTONA BEACH, FL 32117 | KAISER FOUNDATION HEALTH PLAN, INC. | $11K | — | $11K | — |
| STRATEGIC INSURANCE PARTNERS, LLC3 Filed as: STRATEGIC INSURANCE PARTNERS LLC | 750 THE CITY DR. S SUITE 450 ORANGE, CA 92868 | KAISER FOUNDATION HEALTH PLAN, INC. | $3K | — | $3K | — |
| LINDA M NAPOLI3 | 5335 YARMOUTH AVE APT 105 ENCINO, CA 91316 | AFLAC | $3K | $133 | $3K | — |
| PATRICIA GAIL LEES3 | 6055 E WASHINGTON BLVD SUITE 210 COMMERCE, CA 90040 | AFLAC | $944 | $21 | $965 | — |
| HAROLD L LEE & SON INC3 | 1654 SOLANO AVE STE D ALBANY, CA 94707 | AFLAC | $570 | — | $570 | — |
| HING AND ASSOCIATES INSURANCE3 Filed as: HING AND ASSOCIATES INS BROKERS INC | 301 E COLORADO BLVD STE 200 PASADENA, CA 91101 | AFLAC | $480 | — | $480 | — |
| PAUL GALLEGOS3 | 10519 SHOSHONE AVE GRANADA HILLS, CA 91344 | AFLAC | $470 | — | $470 | — |
| SHEM J BOSTICK3 | 1620 S DITMAR ST OCEANSIDE, CA 92054 | AFLAC | $456 | — | $456 | — |
| LEANN C LEVINE3 | 1049 16TH STREET 9 SANTA MONICA, CA 90403 | AFLAC | $178 | — | $178 | — |
| ALFRED RIETKERK3 | 3120 NE 47TH STREET FT LAUDERDALE, FL 33308 | AFLAC | $151 | — | $151 | — |
| DAVID J REESOR3 | 2220 E ROUTE 66 SUITE 215 GLENDORA, CA 91740 | AFLAC | $87 | $21 | $108 | — |
| MIU FONG LAM3 | PO BOX 1195 ARCADIA, CA 91077 | AFLAC | $106 | — | $106 | — |
| DANIEL P HODGKISS3 | 2275 HUNTINGTON DR #271 SAN MARINO, CA 91108 | AFLAC | $99 | — | $99 | — |
| SALLY CHUNG3 | 236 WEST PORTAL AVE #498 SAN FRANCISCO, CA 94127 | AFLAC | $99 | — | $99 | — |
| VINCENT C HING3 | 4536 RINETTI LN LA CANADA, CA 91011 | AFLAC | $98 | — | $98 | — |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BLVD STE 254 NORTHRIDGE, CA 91325 | AFLAC | $85 | — | $85 | — |
| DE VITA B MCKENZIE3 | 300 E ESPLANADE DR STE 1220 OXNARD, CA 93036 | AFLAC | $77 | $5 | $82 | — |
| ELIZABETH ASH CHAVKIN3 | 316 W 2ND ST SUITE 500 LOS ANGELES, CA 90012 | AFLAC | $74 | — | $74 | — |
| CHARLES EDWARD WILLIAMS3 | 847 N HOLLYWOOD WAY STE 204 BURBANK, CA 91505 | AFLAC | $34 | — | $34 | — |
| DAVID WILLIAM ZIEGLER3 | 1 S FAIR OAKS AVE STE 200 PASADENA, CA 91105 | AFLAC | $28 | — | $28 | — |
| SPALDING GROUP ENTERPRISES3 | 4297 KLUMP AVE STUDIO CITY, CA 91602 | AFLAC | $25 | — | $25 | — |
| BALTOR INSURANCE SERVICES3 | 11 AIRPORT BLVD SUITE 105 SOUTH SAN FRANCISCO, CA 94080 | AFLAC | $22 | — | $22 | — |
| JULIE ATKINS3 | 165 GRAMERCY DRIVE SAN MATEO, CA 94402 | AFLAC | $21 | — | $21 | — |
| LENHI TANG3 | PO BOX 4142 EL MONTE, CA 91734 | AFLAC | $20 | — | $20 | — |
| TODD V MASON3 | 6164 LAWRENCE ST CYPRESS, CA 90630 | AFLAC | $20 | — | $20 | — |
| MARSHALL CHARLES MCDONALD3 | 415 DAVIDSON GATEWAY DR APT 7 DAVIDSON, NC 28036 | AFLAC | $18 | — | $18 | — |
| CHARLES EDWARD WILLIAMS3 | 1411 N GRAND OAKS AVE PASADENA, CA 91104 | AFLAC | $17 | — | $17 | — |
| JOHNNY TAI3 | 2111 HILLSBORO AVENUE LOS ANGELES, CA 90034 | AFLAC | $17 | — | $17 | — |
| BALTOR INSURANCE SERVICES3 | 165 GRAMERCY DR SAN MATEO, CA 94402 | AFLAC | $16 | — | $16 | — |
| ANNA JANICE RUIZ3 | 2596 17TH AVE SAN FRANCISCO, CA 94116 | AFLAC | $15 | — | $15 | — |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO RD SUITE 204 NASHVILLE, TN 37215 | AFLAC | $12 | — | $12 | — |
| SPALDING GROUP ENTERPRISES3 | 29404 QUAIL RUN DR AGOURA HILLS, CA 91301 | AFLAC | $11 | — | $11 | — |
| RICHARD J KUNZ3 | 601 MONTGOMERY ST STE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $10 | — | $10 | — |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH STREET FT LAUDERDALE, FL 33334 | AFLAC | $10 | — | $10 | — |
| LARA K GRANDE3 | 117 MORNING MIST LN FRANKLIN, TN 37064 | AFLAC | $8 | — | $8 | — |
| CHRIS BRANSON3 | PO BOX 930 MAKAWAO, HI 96768 | AFLAC | $4 | — | $4 | — |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 3 CITYPLACE DR SUITE 900 SAINT LOUIS, MT 63141 | AFLAC | $2 | — | $2 | — |
| GARY SCOTT NELLIS3 | 10607 1/2 WOODBRIDGE ST TOLUCA LAKE, CA 91602 | AFLAC | $2 | — | $2 | — |
| OWEN JOHNSTON3 | 796 N HART ST ORANGE, CA 92867 | AFLAC | $1 | — | $1 | — |
| PAUL GLOBAL BENEFITS INC3 Filed as: PAUL SCHNAIDER | 2521 SHADOWBROOKE RD BRENTWOOD, CA 94513 | AFLAC | $1 | — | $1 | — |
| KRISTINA J KUNZ3 | 118 GRANVILLE WAY SAN FRANCISCO, CA 94127 | AFLAC | $1 | — | $1 | — |
| CAROLINE D MORNINGSTAR3 Filed as: CAROLINE Y MOY | 2169 E 28TH STREET BROOKLYN, NY 11229 | AFLAC | $1K | $17 | $1K | — |
| LINDA M NAPOLI3 Filed as: LINDA NAPOLI | 1443 E WASHINGTON BLVD 128 PASADENA, CA 91104 | AFLAC | $500 | $4 | $504 | — |
| PATRICK RUHLE3 Filed as: PATRICK C HARDIE | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $305 | $3 | $308 | — |
| HAROLD L LEE & SONS INC3 Filed as: HAROLD LEE & SONS INC | 31 PELL STREET NEW YORK, NY 10013 | AFLAC | $290 | — | $290 | — |
| PATRICIA GAIL LEES3 Filed as: PATRICIA G LEES | 1124 CHURCHS COURT BURBANK, CA 91501 | AFLAC | $102 | — | $102 | — |
| SHEM J BOSTICK3 | 1325 MOUNT HERMON RD SUITE 13B SALISBURY, MD 21804 | AFLAC | $66 | — | $66 | — |
| TREVOR FENNELL3 | 11835 QUEENS BLVD STE 1403 FOREST HILLS, NY 11375 | AFLAC | $65 | — | $65 | — |
| CHRISTY DAY ASSOCIATES LLC3 | 14 WALL ST STE 8C NEW YORK, NY 10005 | AFLAC | $35 | $3 | $38 | — |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $33 | — | $33 | — |
| TOMMY TAM3 | 418 E 74TH ST APT 1B NEW YORK, NY 10021 | AFLAC | $21 | — | $21 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: KEVIN G GALLAGHER | 173 GELSTON AVE APT 3D BROOKLYN, NY 11209 | AFLAC | $11 | — | $11 | — |
| BRIAN WHITE3 | 6 COWDIN LN CHAPPAQUA, NY 10514 | AFLAC | $8 | — | $8 | — |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE RD SARATOGA SPRINGS, NY 12866 | AFLAC | $7 | — | $7 | — |
| DEVITA MCKENZIE3 | 300 E ESPLANADE DR 1220 OXNARD, CA 93036 | AFLAC | $5 | $1 | $6 | — |
| MICHAEL BURACK3 | 125 JERICHO TPKE SUITE 201 JERICHO, NY 11753 | AFLAC | $2 | — | $2 | — |
| STEPHEN WHITE3 Filed as: STEPHEN P WHITE | 5 EMERALD LN MONTEBELLO, NY 10901 | AFLAC | $2 | — | $2 | — |
| SEAN FX GLEASON LLC3 | 52 HOLIDAY PARK DR HAUPPAUGE, NY 11788 | AFLAC | $2 | — | $2 | — |
| KENNETH B MCPHERSON3 | 1932 E DEERE AVE SUITE 240 SANTA ANA, CA 92705 | AFLAC | $1 | — | $1 | — |
| MICHAEL BURACK3 | 46 THREEPENCE DR MELVILLE, NY 11747 | AFLAC | $1 | — | $1 | — |
| HING AND ASSOCIATES INSURANCE3 | 301 E COLORADO BLVD SUITE 200 PASADENA, CA 91101 | BLUE SHIELD OF CALIFORNIA | $19K | $49K | $68K | — |
| SANDRA L KAWANO3 | 1654 SOLANO AVE SUITE D ALBANY, CA 94707 | BLUE SHIELD OF CALIFORNIA | $14K | $49K | $64K | — |
| LINDA M NAPOLI3 | 5335 NE 32ND ST APT 120 FT LAUDERDALE, FL 33306 | CONTINENTAL AMERICAN INS CO | $3K | — | $3K | — |
| HAROLD L LEE & SON INC3 Filed as: HAROLD L LEE & SONSINC | 1654 SOLANO AVENUE SUITE D ALBANY, CA 94707 | CONTINENTAL AMERICAN INS CO | $3K | — | $3K | — |
| PATRICIA GAIL LEES3 Filed as: PATRICIA G. LEES | 1124 CHURCHS CT BURBANK, CA 91501 | CONTINENTAL AMERICAN INS CO | $895 | — | $895 | — |
| SHEM J BOSTICK3 | 1325 MT. HERMON RD #73B SALISBURY, MD 21804 | CONTINENTAL AMERICAN INS CO | $548 | — | $548 | — |
| CAROLINE D MORNINGSTAR3 Filed as: CAROLINE Y MOY | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | CONTINENTAL AMERICAN INS CO | $276 | — | $276 | — |
| JANELLE MARIE GADOMSKI3 Filed as: JANELLE GODOMSKI | 14 WALL ST STE 8C NEW YORK, NY 10005 | CONTINENTAL AMERICAN INS CO | $72 | — | $72 | — |
| PATRICK RUHLE3 Filed as: PATRICK C HARDIE | 14 WALL ST SUITE 8C NEW YORK, NY 10005 | CONTINENTAL AMERICAN INS CO | $45 | — | $45 | — |
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 | 325 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 325 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 220 | $0 |
| Life insurance | AETNA LIFE INSURANCE CO. | 317 | $115K |
| Long-term disability | AETNA LIFE INSURANCE CO. | 317 | $115K |
| Other(4 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 317 | $115K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 317 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.