| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN, INC. | $127K | — | $127K | 3.50% |
| IMA, INC.3 | 1705 17TH STREET SUITE 100 DENVER, CO 80202 | BLUE CROSS OF CALIFORNIA | $22K | $594 | $23K | 1.71% |
| IMA, INC.3 | P.O. BOX 102833 PASADENA, CA 91189 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $8K | — | $8K | 2.46% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $236 | $7K | 2.20% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 672012992 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 1.49% |
| IMA, INC.3 | P.O. BOX 102833 PASADENA, CA 91189 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $11K | — | $11K | 3.60% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $9K | $236 | $10K | 3.22% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 672012992 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $3K | $3K | 1.05% |
| IMA, INC.3 | P.O. BOX 102833 PASADENA, CA 91189 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 2.43% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $118 | $5K | 2.21% |
| IMA, INC.3 | P.O. BOX 2992 WICHITA, KS 672012992 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $2K | $2K | 1.00% |
| IMA, INC.3 | P.O. BOX 102833 PASADENA, CA 91189 | VISION SERVICE PLAN | $4K | — | $4K | 3.23% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON INSURANCE SERVICES LLC | P.O. BOX 6030 PASADENA, CA 911026030 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | $1K | $5K | 5.23% |
| WILLNER-MARCH-WHITTEKER3 Filed as: WILLNER-WHITTEKER INSURANCE SERVICE | 1550 W. COLORADO BLVD. PASADENA, CA 91105 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $78 | — | $78 | 0.08% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | KAISER FOUNDATION HEALTH PLAN, INC. | $390 | — | $390 | 2.95% |
| BHAVANDEEP SINGH3 | 40403 MELROSE DRIVE TEMECULA, CA 92591 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $572 | — | $572 | 12.76% |
| HASSON FINANCIAL FREEDOM LLC4 Filed as: HASSON FINANCIAL FREEDON LLC | 850 E. LONG BEACH BLVD. UNIT 908 LONG BEACH, CA 90802 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $216 | — | $216 | 4.82% |
| BRIAN CARRUTHERS LLC4 | 43604 TUCKAWAY PLACE LEESBURG, VA 20176 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $50 | — | $50 | 1.12% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | FOUR EVER LIFE INSURANCE CO. | $420 | — | $420 | 15.01% |
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 | 1,502 | 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) | 1,502 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,686 | $5.4M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 1,686 | $1.4M |
| Vision | VISION SERVICE PLAN | 928 | $119K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,488 | $295K |
| Short-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,265 | $308K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,291 | $206K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,686 | $5.4M |
| Other(4 contracts, 4 carriers) | ACI SPECIALTY BENEFITS | 1,855 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,855 | — |
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.