| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LIS INSURANCE SOLUTIONS3 | 734 SILVER SPUR ROAD, SUITE 201 ROLLING HILLS, CA 90274 | HEALTH NET | $32K | $0 | $32K | 4.82% |
| 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 | $26K | $0 | $26K | 4.90% |
| S AND K FIN AND INS SERVICES, INC.3 Filed as: S AND K FIN. AND INS. SERVICES INC. | 734 SILVER SPUR ROAD, SUITE 201 ROLLING HILLS ESTATES, CA 90274 | DELTA DENTAL OF CALIFORNIA | $6K | $0 | $6K | 5.00% |
| HANS ERIC ANDERSON3 | 6808 SAINT ESTABAN STREET TUJUNGA, CA 91042 | AFLAC | $3K | $25 | $3K | 6.22% |
| CARLOS E. GARCIA3 | 1034 NORTH KINGSLEY DRIVE APARTMENT 11 LOS ANGELES, CA 90029 | AFLAC | $1K | $85 | $1K | 3.07% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH A. BUZZELLO AND OTHER AGENTS | 9017 BALBOA BOULEVARD, SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $1K | $44 | $1K | 2.91% |
| MARSHALL CHARLES MCDONALD3 | 415 DAVIDSON GATEWAY DRIVE APARTMENT 7 DAVIDSON, NC 28036 | AFLAC | $456 | $0 | $456 | 1.10% |
| MICHAEL R. FISHER3 | 337 SOUTH ALMANSOR STREET APARTMENT F ALHAMBRA, CA 91801 | AFLAC | $445 | $0 | $445 | 1.08% |
| LAURENCE H. TAYLOR3 | 1892 LAKE SHORE AVENUE LOS ANGELES, CA 90026 | AFLAC | $304 | $0 | $304 | 0.73% |
| CONNIE H. SALAZAR3 | 4952 SOUTH CALDERON MESA, AZ 85212 | AFLAC | $273 | $0 | $273 | 0.66% |
| COMPLIANCE SERVICES AGENCY3 Filed as: S AND K COMPLIANCE CHECK, L.P. | 734 SILVER SPUR ROAD, SUITE 201 ROLLING HILLS ESTATES, CA 90274 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| HANS ERIC ANDERSON3 Filed as: HANS ANDERSON | 320 HOLSTEAD, SUITE 170 PASADENA, CA 91107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 5.30% |
| MARSHALL MCDONALD3 | UNKNOWN SAN PEDRO, CA 90731 | CONTINENTAL AMERICAN INSURANCE COMPANY | $226 | $0 | $226 | 1.19% |
| KHACHATOUR MANOUKIAN3 | 928 NORTH VERDUGO ROAD GLENDALE, CA 91206 | CONTINENTAL AMERICAN INSURANCE COMPANY | $174 | $0 | $174 | 0.91% |
| TODD V MASON3 Filed as: TODD V. MASON | 110 PINE AVENUE, SUITE 3710 LONG BEACH, CA 90802 | CONTINENTAL AMERICAN INSURANCE COMPANY | $134 | $0 | $134 | 0.70% |
| MARTHA F GARCIA3 Filed as: MARTHA F. GARCIA | 4067 HARDWICK, SUITE 289 LAKEWOOD, CA 90712 | CONTINENTAL AMERICAN INSURANCE COMPANY | $69 | $0 | $69 | 0.36% |
| JOANNA G MATHERLY3 Filed as: JOANNA G. PEOPLE | 2000 GLEN ECHO ROAD, SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | $0 | $26 | 0.14% |
| MARGARET B. VAIL3 | 320 NORTH HALSTEAD PASADENA, CA 91107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | $0 | $16 | 0.08% |
| LIS INSURANCE SOLUTIONS3 | 734 SILVER SPUR ROAD, SUITE 201 ROLLING HILLS ESTATES, CA 90731 | MESVISION | $1K | $0 | $1K | 7.43% |
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 | 158 | 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) | 158 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 107 | $1.2M |
| Dental | DELTA DENTAL OF CALIFORNIA | 263 | $128K |
| Vision | MESVISION | 163 | $17K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 173 | $21K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH NET | 107 | $1.2M |
| Other(3 contracts, 3 carriers) | AFLAC | 173 | $81K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 263 | — |
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.