| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARVIN MANDELBAUM3 | PO BOX 480350 LOS ANGELES, CA 90048 | KAISER FOUNDATION HEALTH PLANS INC | $100K | — | $100K | 0.99% |
| MANDELBAUM INSURANCE SERVICES LLC3 | PO BOX 480350 LOS ANGELES, CA 90048 | HEALTH NET | $72K | — | $72K | 3.00% |
| MANDELBAUM INSURANCE SERVICES LLC3 | 433 N CAMDEN DR STE 733 BEVERLY HILLS, CA 90210 | UNION SECURITY INSURANCE COMPANY | $80K | — | $80K | 10.00% |
| MANDELBAUM INSURANCE SERVICES LLC3 | 433 N CAMDEN DR STE 733 BEVERLY HILLS, CA 90210 | UNION SECURITY INSURANCE COMPANY | $16K | — | $16K | 10.00% |
| MANDELBAUM INSURANCE SERVICES LLC3 | 433 N CAMDEN DR STE 733 BEVERLY HILLS, CA 90210 | UDC DENTAL OF CALIFORNIA, INC. | $13K | — | $13K | 9.98% |
| MANDELBAUM INSURANCE SERVICES LLC3 | 433 N CAMDEN DR STE 733 BEVERLY HILLS, CA 90210 | UNION SECURITY INSURANCE COMPANY | $12K | — | $12K | 15.00% |
| MANDELBAUM INSURANCE SERVICES LLC3 | 433 N CAMDEN DR STE 733 BEVERLY HILLS, CA 90210 | UNION SECURITY INSURANCE COMPANY | $8K | — | $8K | 10.00% |
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 | 1,884 | 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) | 1,884 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 251 | $2.4M |
| Dental(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 799 | $925K |
| Vision | UNION SECURITY INSURANCE COMPANY | 877 | $159K |
| Life insurance | UNION SECURITY INSURANCE COMPANY | 1,585 | $77K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 193 | $76K |
| Other | UNION SECURITY INSURANCE COMPANY | 1,585 | $77K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,823 | — |
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.