| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITS AMERICA INSURANCE SERVICES3 | 6320 CANOGA AVE SUITE 1200 WOODLAND HILLS, CA 91367 | KAISER PERMANENTE | $18K | $0 | $18K | 3.92% |
| JOHN M. GILMOUR, INC.3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | BLUE SHIELD | $16K | $0 | $16K | 5.00% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 6320 CANOGA AVE SUITE 1200 WOODLAND HILLS, CA 91367 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | $594 | $6K | 16.57% |
| SABRINA CAMPAGNA3 | 5805 SEPULVEDA BLVD SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $3K | $188 | $3K | 10.66% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BLVD SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $738 | $39 | $777 | 2.59% |
| RUBEN ROSA3 | 5307 SEPULVEDA BLVD APT 118 SHERMAN OAKS, CA 91411 | AFLAC | $699 | $39 | $738 | 2.46% |
| SVETLANA MAGILNER3 | 2000 N BAYSHORE DR APT 220 MIAMI, FL 33137 | AFLAC | $455 | $0 | $455 | 1.52% |
| ROSARIO RONQUILLO3 | 4500 PARK GRANADA SUITE 202 CALABASAS, CA 91302 | AFLAC | $270 | $0 | $270 | 0.90% |
| CHRISTOPHER UNDERWOOD3 Filed as: CHRISTOPHER MATTHEW PORTEOUS | 15323 WEDDINGTON ST APT 304 SHERMAN OAKS, CA 91411 | AFLAC | $113 | $0 | $113 | 0.38% |
| ROSARIO VILLEGAS3 | 5805 SEPULVEDA BLVD SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $90 | $0 | $90 | 0.30% |
| ABRAMS MARKETING INC3 Filed as: ABRAMS MARKETING, INC. | 9538 W PICO LOS ANGELES, CA 90035 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $704 | $4 | $708 | 3.79% |
| TERI ROLLIN3 | C/O TERI ROLIN OAK PARK, CA 91377 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $197 | $0 | $197 | 1.05% |
| MATTHEW ALEXANDER THOMAS3 | 1862 E CYRENE DR CARSON, CA 90746 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $29 | $0 | $29 | 0.16% |
| TMATA DENISE CHEZICK3 | 10020 MASON CHATSWORTH, CA 91311 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | $0 | $24 | 0.13% |
| CHARLOTTE MARTINEZ3 Filed as: CHARLOTTE ANNE MARTINEZ | 4424 COLDWATER CANYON STUDIO CITY, CA 91604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | $0 | $15 | 0.08% |
| HOLLERN & ASSOCIATES INCORPORATED3 Filed as: HOLLERN & ASSOCIATES INC. | 11412 ROBBIA DRIVE LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $0 | $6 | 0.03% |
| JOHN M. GILMOUR, INC.3 | 300 WEST GLENOAKS BLVD SUITE 301 GLENDALE, CA 91202 | SAFEGUARD HEALTH PLANS, INC. | $1K | $0 | $1K | 9.95% |
| BENEFITS AMERICA INSURANCE SERVICES3 | 1800 QUAIL ST 110 NEWPORT BEACH, CA 92660 | EYEMED VISION CARE | $269 | $0 | $269 | 10.01% |
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 | 115 | 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) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER PERMANENTE | 73 | $782K |
| Dental | SAFEGUARD HEALTH PLANS, INC. | 43 | $12K |
| Vision | EYEMED VISION CARE | 31 | $3K |
| Life insurance(3 contracts, 3 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $87K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 41 | $49K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 120 | $38K |
| Prescription drug(2 contracts, 2 carriers) | KAISER PERMANENTE | 73 | $782K |
| Other(2 contracts, 2 carriers) | AFLAC | 41 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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.