| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP INC. | 4165 E THOUSAND OAKS BLVD. SUITE 325 WESTLAKE VILLAGE, CA 91362 | BLUE CROSS OF CALIFORNIA | $179K | $8K | $187K | 4.26% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA RD WESTLAKE VILLAGE, CA 91361 | BLUE CROSS OF CALIFORNIA | $0 | $96K | $96K | 2.19% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP INC. | 4165 E THOUSAND OAKS BLVD. SUITE 325 WESTLAKE VILLAGE, CA 91362 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $41K | $542 | $42K | 8.35% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA RD WESTLAKE VILLAGE, CA 91361 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $0 | $7K | $7K | 1.36% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP, INC. | 4165 E THOUSAND OAKS BLVD. SUITE 325 WESTLAKE VILLAGE, CA 913623850 | KAISER FOUNDATION HEALTH PLAN INC. | $14K | $0 | $14K | 3.65% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP | 4165 E THOUSAND OAKS BLVD SUITE 325 WESTLAKE VILLAGE, CA 913623850 | KAISER FOUNDATION HEALTH PLAN INC. | $5K | $0 | $5K | 4.84% |
| DANONE SIMPSON INSURANCE SERVICES3 | 5550 TOPANGA CANYON BLVD. SUITE 310 WOODLAND HILLS, CA 913677444 | KAISER FOUNDATION HEALTH PLAN INC. | -$1K | $0 | -$1K | -1.45% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP | PO BOX 6549 THOUSAND OAKS, CA 91359 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 8.42% |
| CARLA MAGARITY3 Filed as: CARLA SUE MARGARITY | 2701 SPRING GATE PLACE MIDLOTHIAN, VA 23112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $77 | $0 | $77 | 0.33% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP | PO BOX 6549 WESTLAKE VILLAGE, CA 913596549 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $207 | $4K | 22.85% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP INC. | PO BOX 6549 WESTLAKE VILLAGE, CA 913596549 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $134 | $2K | 18.27% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP, INC. | PO BOX 6549 WESTLAKE VILLAGE, CA 913596549 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $131 | $2K | 20.05% |
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 | 365 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 368 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 756 | $4.9M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 768 | $503K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 768 | $503K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 768 | $503K |
| Long-term disability | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 768 | $503K |
| Other(5 contracts, 3 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 768 | $564K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 768 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.