| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | KAISER FOUNDATION HEALTH PLAN INC | $92K | $7K | $98K | 3.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | BLUE CROSS OF CALIFORNIA | $37K | $0 | $37K | 2.35% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | BLUE CROSS OF CALIFORNIA | $21K | $0 | $21K | 1.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | NIPPON LIFE INSURANCE COMPANY OF AMERICA | $36K | $0 | $36K | 3.50% |
| SIRANOUSH SARA MKRTCHIAN3 | 11014 LORENE STREET WHITTIER, CA 90601 | AFLAC | $26K | $1K | $27K | 10.86% |
| JEANNETTE BOTELLO3 | 3014 EAST ARBOR LANE ONTARIO, CA 91762 | AFLAC | $9K | $231 | $9K | 3.65% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD AND BROWN AND VARIOUS AGENTS | 721 SOUTH PARKER STREET, SUITE 300 ORANGE, CA 92868 | AFLAC | $9K | $179 | $9K | 3.61% |
| DAVID J REESOR3 Filed as: DAVID J. REESOR | 2220 EAST ROUTE 66, SUITE 215 GLENDORA, CA 91740 | AFLAC | $3K | $254 | $3K | 1.21% |
| SHEM J BOSTICK3 Filed as: SHEM J. BOSTICK | 1620 SOUTH DITMAR STREET OCEANSIDE, CA 92054 | AFLAC | $2K | $0 | $2K | 0.96% |
| GUERRERO SOLIS JR3 Filed as: GUERRERO SOLIS JR. | 4208 GLENBROOK AVENUE BAKERSFIELD, CA 93306 | AFLAC | $2K | $83 | $2K | 0.94% |
| ARMANDO AYALA3 | 17809 COUNTRYSIDE COURT SALINAS, CA 93907 | AFLAC | $2K | $25 | $2K | 0.61% |
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 | 714 | 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) | 714 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 1,025 | $5.2M |
| Dental | BLUE CROSS OF CALIFORNIA | 1,025 | $1.6M |
| Vision | BLUE CROSS OF CALIFORNIA | 1,025 | $1.6M |
| Life insurance(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 1,025 | $1.8M |
| Short-term disability | AFLAC | 312 | $253K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 1,025 | $5.2M |
| Other(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 1,025 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,025 | — |
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."
No prospect flags tripped on this filing.