| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONSTOP ADMIN & INSURANCE SERVICES3 Filed as: NONSTOP ADMIN. & INSURANCE SERVICES | 2300 CLAYTON ROAD SUITE 1450 CONCORD, CA 94520 | KAISER FOUNDATION HEALTH PLANS, INC. | $143K | $0 | $143K | 3.00% |
| NONSTOP ADMIN & INSURANCE SERVICES3 Filed as: NONSTOP ADMIN. & INSURANCE SERVICES | 2300 CLAYTON ROAD SUITE 1450 CONCORD, CA 94520 | SIMNSA | $42K | $0 | $42K | 3.00% |
| SUSIE A ESTRADA3 Filed as: SUSIE ESTRADA | 25742 PARK AVENUE SAN JUAN CAPISTRANO, CA 92675 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17K | $2K | $19K | 4.62% |
| LAMBERT MONTALBO AND OTHER AGENTS3 | 26197 MIRADA STREET HIGHLAND, CA 92346 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14K | $479 | $15K | 3.49% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 85638 SAN DIEGO, CA 92186 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12K | $780 | $13K | 3.08% |
| G SCOTT COOKE3 Filed as: SCOTT C CASTEEL | 1450 WEST JAMES WAY ANAHEIM, CA 92801 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $636 | $9K | 2.07% |
| RALPH F REA JR3 Filed as: RALPH F. REA | 84 VIA BARCELONA RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $399 | $7K | 1.65% |
| ROSE VILLALON PASQUEL3 | 552 E CARSON ST CARSON, CA 90745 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $491 | $4K | 1.05% |
| GOLD RIVER FINANCIAL GROUP LLC3 | 2807 GRATTON ST RIVERSIDE, CA 92504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $585 | $3K | 0.77% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 85638 SAN DIEGO, CA 92186 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $14K | $0 | $14K | 8.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: BARNEY & BARNEY | LOCKBOX 740659 LOS ANGELES, CA 90074 | EYEMED | $10K | $0 | $10K | 9.02% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | LOCKBOX 740659 LOS ANGELES, CA 90074 | EYEMED | $1K | $0 | $1K | 0.93% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 85638 SAN DIEGO, CA 92186 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | $0 | $7K | 8.00% |
| DAVID QUACKENBUSH4 | 5353 S GENOA WAY CENTENNITAL, CO 80015 | PRE-PAID LEGAL SERVICES, INC. | $725 | $0 | $725 | 23.81% |
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE DRIVE SUITE 500 SAN DIEGO, CA 92122 | NATIONAL UNION FIRE INS CO OF PITTSBURGH | $75 | $0 | $75 | 15.00% |
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 | 1,025 | 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) | 1,025 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLANS, INC. | 1,361 | $6.2M |
| Vision | EYEMED | 2,024 | $115K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,194 | $85K |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,025 | $422K |
| Long-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,194 | $591K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLANS, INC. | 1,361 | $6.2M |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,194 | $88K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,024 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.