| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| S AND K FIN AND INS SERVICES, INC.3 | 545 SOUTH FIGUEROA STREET SUITE 1110 LOS ANGELES, CA 90071 | KAISER FOUNDATION HEALTH PLAN INC | $31K | $0 | $31K | 3.08% |
| COMPLIANCE SERVICES AGENCY3 Filed as: S AND K COMPLIANCE CHECK, L.P. | 734 SILVER SPUR ROAD SUITE 201 ROLLING HILLS ESTATES, CA 90274 | KAISER FOUNDATION HEALTH PLAN INC | $15K | $0 | $15K | 1.52% |
| S AND K FIN AND INS SERVICES, INC.3 | 734 SILVER SPUR ROAD SUITE 201 ROLLING HILLS ESTATES, CA 90274 | HEALTH NET | $17K | $0 | $17K | 3.35% |
| LIS INSURANCE SOLUTIONS3 | 734 SILVER SPUR ROAD SUITE 201 ROLLING HILLS ESTATES, CA 90274 | HEALTH NET | $8K | $0 | $8K | 1.64% |
| S AND K FIN AND INS SERVICES, INC.3 | 734 SILVER SPUR ROAD SUITE 201 ROLLING HILLS ESTATES, CA 90274 | DELTA DENTAL OF CALIFORNIA | $6K | $0 | $6K | 5.00% |
| CAMERON J BELL3 Filed as: CAMERON J. BELL | 2390 CRENSHAW BOULEVARD SUITE 307 TORRANCE, CA 90501 | AFLAC | $5K | $200 | $5K | 13.84% |
| S AND K FIN AND INS SERVICES, INC.3 | 734 SILVER SPUR ROAD SUITE 201 ROLLING HILLS ESTATES, CA 90274 | AFLAC | $1K | $0 | $1K | 3.36% |
| DAVID HERNANDEZ3 | 2239 WEST 190TH STREET TORRANCE, CA 90504 | AFLAC | $835 | $47 | $882 | 2.23% |
| SARI ALLISON MEDINA3 | PO BOX 662 TUJUNGA, CA 91043 | AFLAC | $692 | $0 | $692 | 1.75% |
| HANS ERIC ANDERSON3 | 6808 SAINT ESTABAN STREET TUJUNGA, CA 91042 | AFLAC | $568 | $0 | $568 | 1.44% |
| TALHA ZAQUIR RAHMAN3 Filed as: TALHA ZAQUIR RAHMAN AND OTHERS | 10973 PRESCOTT DRIVE FRISCO, TX 75033 | AFLAC | $549 | $0 | $549 | 1.39% |
| MARSHALL CHARLES MCDONALD3 | 17031 SUMMERS WALK BOULEVARD DAVIDSON, NC 28036 | AFLAC | $122 | $0 | $122 | 0.31% |
| S AND K FIN AND INS SERVICES, INC.3 | 734 SILVER SPUR ROAD SUITE 201 ROLLING HILLS ESTATES, CA 90274 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 5.02% |
| COMPLIANCE SERVICES AGENCY3 Filed as: S AND K COMPLIANCE CHECK | 734 SILVER SPUR ROAD SUITE 201 ROLLING HILLS ESTATES, CA 90274 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 4.98% |
| S AND K FIN AND INS SERVICES, INC.3 | 734 SILVER SPUR ROAD SUITE 201 ROLLING HILLS ESTATES, CA 90274 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $741 | $0 | $741 | 5.03% |
| S AND K FIN AND INS SERVICES, INC.3 | 545 SOUTH FIGUEROA STREET SUITE 1110 LOS ANGELES, CA 90071 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $365 | $0 | $365 | 2.48% |
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 | 161 | 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) | 161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 136 | $1.5M |
| Dental | DELTA DENTAL OF CALIFORNIA | 227 | $111K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 219 | $15K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 159 | $62K |
| Short-term disability | AFLAC | 51 | $39K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 136 | $1.5M |
| Other(3 contracts, 3 carriers) | AFLAC | 159 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 227 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.