| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES J FRIEDMAN3 | 1735 SAN GABRIEL AVE VENTURA, CA 93004 | CALIFORNIA PHYSICIANS' SERVICE | $315 | $41K | $41K | 3.11% |
| JAMES J FRIEDMAN3 Filed as: JAMES FRIEDMAN | 1735 SAN GABRIEL AVE VENTURA, CA 930043045 | KAISER FOUNDATION HEALTH PLAN INC. | $32K | $0 | $32K | 4.98% |
| JAMES J FRIEDMAN3 | 1735 SAN GABRIEL AVE VENTURA, CA 93004 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $0 | $6K | 4.42% |
| JAMES J FRIEDMAN3 | 1735 SAN GABRIEL AVE VENTURA, CA 93004 | SUN LIFE ASSURANCE COMPANY OF CANADA | $9K | $0 | $9K | 7.05% |
| JAMES J FRIEDMAN3 | 1735 SAN GABRIEL AVE VENTURA, CA 93004 | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | $7K | $0 | $7K | 10.00% |
| JAMES J FRIEDMAN3 Filed as: JAMES J. FRIEDMAN | 1735 SAN GABRIEL AVE VENTURA, CA 933043045 | VISION SERVICE PLAN | $2K | $0 | $2K | 2.96% |
| JAMES J FRIEDMAN3 Filed as: JAMES J. FRIEDMAN | 1735 SAN GABRIEL AVE VENTURA, CA 93004 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $0 | $8K | 14.94% |
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 | 361 | 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) | 361 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 172 | $2.0M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 204 | $121K |
| Vision | VISION SERVICE PLAN | 327 | $58K |
| Life insurance | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | 366 | $67K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 351 | $143K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 351 | $143K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 172 | $1.3M |
| Other(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | 371 | $119K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 371 | — |
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."
No prospect flags tripped on this filing.