| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DARIUSH ROOHOLAH YASHAR3 Filed as: DARIUSH R YASHAR | 15445 VENTURA BLVD S 450 SHERMAN OAKS, CA 914033005 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $29K | $5K | $34K | 3.23% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLIAGE, CA 91361 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $5K | — | $5K | 0.46% |
| DARIUSH ROOHOLAH YASHAR3 Filed as: DARIUSH R YASHAR | 15445 VENTURA BLVD S 450 SHERMAN OAKS, CA 914033005 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $7K | — | $7K | 2.75% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLIAGE, CA 91361 | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | $1K | — | $1K | 0.46% |
| DARIUSH ROOHOLAH YASHAR3 Filed as: DARIUSH ROOHLAH YASHAR | 15445 VENTURA BLVD S 450 SHERMAN OAKS, CA 91403 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 5.04% |
| SEE ATTACHED LIST3 | — | AFLAC | $20K | $313 | $21K | 33.27% |
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 | 225 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 227 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | AETNA LIFE INSURANCE COMPANY AND AFFILIATES | 253 | $1.3M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 164 | $68K |
| Vision | AFLAC | 105 | $62K |
| Life insurance | AFLAC | 105 | $62K |
| Short-term disability | AFLAC | 105 | $62K |
| Long-term disability | AFLAC | 105 | $62K |
| Other | AFLAC | 105 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 253 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.