| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CREATIVE EMPLOYEE BEN. & INS. SVCS.3 | 20058 VENTURA BLVD., #10 WOODLAND HILLS, CA 91364 | KAISER FOUNDATION HEALTH PLAN INC. | $12K | — | $12K | 1.20% |
| MARGARET MCCOMB3 | 21862 SEACREST LANE HUNTINGTON BEACH, CA 92646 | KAISER FOUNDATION HEALTH PLAN INC. | $12K | — | $12K | 1.20% |
| MARGARET MCCOMB3 | 21862 SEACREST LANE HUNTINGTON BEACH, CA 92646 | KAISER FOUNDATION HEALTH PLAN INC. | $5K | — | $5K | 2.99% |
| CREATIVE EMPLOYEE BEN. & INS. SVCS.3 | 20058 VENTURA BLVD., #10 WOODLAND HILLS, CA 91364 | HUMANA INSURANCE COMPANY | $2K | — | $2K | 2.61% |
| MARGARET MCCOMB3 | 21862 SEACREST LANE HUNTINGTON BEACH, CA 92646 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 2.40% |
| CREATIVE EMPLOYEE BEN. & INS. SVCS.3 | 20058 VENTURA BLVD., #10 WOODLAND HILLS, CA 91364 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $514 | — | $514 | 3.24% |
| MARGARET MCCOMB3 | 21862 SEACREST LANE HUNTINGTON BEACH, CA 92646 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $514 | — | $514 | 3.24% |
| CREATIVE EMPLOYEE BEN. & INS. SVCS.3 | 20058 VENTURA BLVD., #10 WOODLAND HILLS, CA 91364 | HUMANADENTAL INSURANCE COMPANY | $294 | — | $294 | 2.43% |
| MARGARET MCCOMB3 | 21862 SEACREST LANE HUNTINGTON BEACH, CA 92646 | HUMANADENTAL INSURANCE COMPANY | $258 | — | $258 | 2.13% |
| CREATIVE EMPLOYEE BEN. & INS. SVCS.3 | 20058 VENTURA BLVD., #10 WOODLAND HILLS, CA 91364 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $744 | — | $744 | 7.50% |
| MARGARET MCCOMB3 | 21862 SEACREST LANE HUNTINGTON BEACH, CA 92646 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $744 | — | $744 | 7.50% |
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 | 123 | 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) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 115 | $1.1M |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 67 | $72K |
| Vision | HUMANA INSURANCE COMPANY | 67 | $60K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 163 | $26K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 115 | $1.1M |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 163 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 163 | — |
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.