| 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 | $234K | $0 | $234K | 4.32% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA RD WESTLAKE VILLAGE, CA 91361 | BLUE CROSS OF CALIFORNIA | $0 | $135K | $135K | 2.49% |
| 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 | $46K | $0 | $46K | 8.42% |
| 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. | $18K | $0 | $18K | 4.38% |
| 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. | $4K | $0 | $4K | 4.37% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP | PO BOX 6549 WESTLAKE VILLAGE, CA 913596549 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $495 | $5K | 23.84% |
| 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 | 9.21% |
| CARLA MAGARITY3 Filed as: CARLA SUE MARGARITY | 2701 SPRING GATE PLACE MIDLOTHIAN, VA 23112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $37 | $0 | $37 | 0.19% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP, INC. | PO BOX 6549 WESTLAKE VILLAGE, CA 913596549 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $253 | $3K | 21.15% |
| CARLA MAGARITY3 Filed as: CARLA SUE MARGARITY | 2701 SPRING GATE PLACE MIDLOTHIAN, VA 23112 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $219 | $0 | $219 | 1.58% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP INC. | PO BOX 6549 WESTLAKE VILLAGE, CA 913596549 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $230 | $3K | 22.14% |
| NIELSEN INSURANCE GROUP INC3 Filed as: NIELSEN INSURANCE GROUP INC. | PO BOX 6549 WESTLAKE VILLAGE, CA 91359 | METLIFE LEGAL PLANS | $630 | $58 | $688 | 10.71% |
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 | 393 | 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) | 396 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 788 | $5.9M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,458 | $550K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,458 | $550K |
| Life insurance(2 contracts, 2 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,458 | $564K |
| Long-term disability | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,458 | $550K |
| Other(6 contracts, 4 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,458 | $623K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,458 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.