| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANDREW D. GILMOUR, INC.3 Filed as: ANDREW D GILMOUR INC | 300 W GLENOAKS BLVD STE 301 GLENDALE, CA 91202 | CALIFORNIA PHYSICIANS' SERVICE | $331K | — | $331K | 1.75% |
| BENEFITS AMERICA INS. SVCS., LLC3 Filed as: BENEFITS AMERICA INS SVCS LLC | 6320 CANOGA AVE FLR 12 WOODLAND, CA 91367 | CALIFORNIA PHYSICIANS' SERVICE | -$166K | $19K | -$147K | -0.77% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 6320 CANOGA AVE STE 1200 WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLANS INC | $118K | — | $118K | 1.95% |
| BENEFITS AMERICA INS. SVCS., LLC3 Filed as: BENEFITS AMERICA INS SVCS | 6320 CANOGA AVE STE 1200 WOODLAND HILLS, CA 91367 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $101K | — | $101K | 3.32% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 6320 CANOGA AVE STE 1200 WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLAN INC | $29K | — | $29K | 1.98% |
| BENEFITS AMERICA INS. SVCS., LLC3 Filed as: BENEFITS AMERICA INS SERV | 6320 CANOGA AVE STE 1200 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $22K | $7K | $29K | 6.44% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 6320 CANOGA AVE., 12TH FLOOR WOODLAND HILLS, CA 91367 | COMBINED INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 3.73% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 300 W. GLENOAKS, STE 3-1 GLENDALE, CA 91202 | COMBINED INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 1.25% |
| BENEFITS AMERICA INS. SVCS., LLC3 Filed as: BENEFITS AMERICA INS SERV | 6320 CANOGA AVE STE 1200 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $14K | $11K | $25K | 8.74% |
| ANDREW D. GILMOUR, INC.3 Filed as: ANDREW D GILMOUR | 300 W GLENOAKS BLVD STE 301 GLENDALE, CA 91202 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $4K | — | $4K | 2.11% |
| BENEFITS AMERICA INS. SVCS., LLC3 Filed as: BENEFITS AMERICA INS SERV | 6320 CANOGA AVE STE 1200 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $2K | $5K | 8.83% |
| BENEFITS AMERICA INS. SVCS., LLC3 Filed as: BENEFITS AMERICA INS SERV | 6320 CANOGA AVE STE 1200 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $847 | $4K | 6.50% |
| BENEFITS AMERICA INS. SVCS., LLC3 Filed as: BENEFITS AMERICA INS SERV | 6320 CANOGA AVE STE 1200 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $467 | $2K | 6.52% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 6320 CANOGA AVE., 12TH FLOOR WOODLAND HILLS, CA 91367 | COMBINED INSURANCE COMPANY OF AMERICA | $82 | — | $82 | 3.86% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 300 W. GLENOAKS, STE 3-1 GLENDALE, CA 91202 | COMBINED INSURANCE COMPANY OF AMERICA | $27 | — | $27 | 1.27% |
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 | 2,642 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 30 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,672 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 3,764 | $26.7M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 2,400 | $3.0M |
| Vision(2 contracts) | COMBINED INSURANCE COMPANY OF AMERICA | 5,414 | $313K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,642 | $480K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,642 | $59K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,642 | $288K |
| Prescription drug(4 contracts, 4 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 3,764 | $26.7M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 2,642 | $57K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,414 | — |
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.