| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| 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 | $29K | $0 | $29K | 4.58% |
| LIS INSURANCE SOLUTIONS3 | 734 SILVER SPUR ROAD, SUITE 201 ROLLING HELLS ESTATE, CA 90274 | HEALTH NET | $31K | $0 | $31K | 4.85% |
| COMPLIANCE SERVICES AGENCY3 Filed as: S AND K COMPLIANCE CHECK, L.P. | 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 | $2K | $43 | $2K | 5.55% |
| JAMES C. PAYNE AND OTHER AGENTS3 | 718 FIGUEROA DRIVE ALTEDENA, CA 91001 | AFLAC | $1K | $48 | $1K | 3.95% |
| CARLOS E. GARCIA3 | 1034 NORTH KINGSLEY DRIVE APPARTMENT 11 LOS ANGELES, CA 90029 | AFLAC | $321 | $100 | $421 | 1.24% |
| MARSHALL CHARLES MCDONALD3 | 415 DAVIDSON GATEWAY DRIVE APPARTMENT 7 DAVIDSON, NC 28036 | AFLAC | $359 | $0 | $359 | 1.06% |
| LAUREN DEKOWSKI3 | 1 SOUTH FAIR OAKS AVENUE, SUITE 200 PASADENA, CA 91105 | AFLAC | $295 | $9 | $304 | 0.90% |
| LAURENCE H. TAYLOR3 | 1892 LAKE SHORE AVENUE LOS ANGELES, CA 90026 | AFLAC | $254 | $0 | $254 | 0.75% |
| CONNIE H. SALAZAR3 | 4952 SOUTH CALDERON MESA, AZ 85212 | AFLAC | $228 | $0 | $228 | 0.67% |
| 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% |
| LIS INSURANCE SOLUTIONS3 | 734 SILVER SPUR ROAD, SUITE 201 ROLLING HELLS ESTATE, CA 90274 | MESVISION | $1K | $0 | $1K | 7.05% |
| HANS ERIC ANDERSON3 Filed as: HANS ANDERSON | 320 HOLSTEAD, SUITE 170 PASADENA, CA 91107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $910 | $0 | $910 | 5.32% |
| KHACHATOUR MANOUKIAN3 Filed as: KHACHATOUR MNOUKIAN | 928 VERDUGO ROAD GLENDALE, CA 91206 | CONTINENTAL AMERICAN INSURANCE COMPANY | $161 | $0 | $161 | 0.94% |
| TODD V MASON3 Filed as: TODD V. MASON | 110 PINE AVENUE, SUITE 3710 LONG BEACH, CA 90802 | CONTINENTAL AMERICAN INSURANCE COMPANY | $120 | $0 | $120 | 0.70% |
| MARTHA F GARCIA3 Filed as: MARTHA F. GARCIA | 4067 HARDWICH STREET, SUITE 289 LAKEWOOD, CA 90712 | CONTINENTAL AMERICAN INSURANCE COMPANY | $54 | $0 | $54 | 0.32% |
| JOANNA G MATHERLY3 Filed as: JOANNA G. PEOPLE | 2000 GLEN ECHO ROAD, SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | $0 | $23 | 0.13% |
| MARGARET B. VAIL3 | 320 NORTH HALSTEAD PASADENA, CA 91107 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | $0 | $16 | 0.09% |
| MARSHALL MCDONALD | 415 DAVISAON GATEWAY DRIVE DAVIDSON, NC 28036 | CONTINENTAL AMERICAN INSURANCE COMPANY | $0 | $0 | $0 | 0.00% |
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 | 138 | 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) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 119 | $1.3M |
| Dental | DELTA DENTAL OF CALIFORNIA | 264 | $123K |
| Vision | MESVISION | 152 | $18K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 170 | $56K |
| Short-term disability | AFLAC | 56 | $34K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 119 | $1.3M |
| Other(3 contracts, 3 carriers) | AFLAC | 170 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 264 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.