| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE, SUITE 400 LOS ANGELES, CA 90040 | KAISER FOUNDATION HEALTH PLAN, INC. | $894K | — | $894K | 7.08% |
| PIA-SC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE, SUITE 400 LOS ANGELES, CA 90040 | HEALTHNET | — | — | $0 | 0.00% |
| PAI-SC INSURANCE SERVICES, INC.3 | 5800 S EASTERN AVE STE 400 COMMERCE, CA 900404021 | KAISER FOUNDATION HEALTH PLAN INC. | $364K | — | $364K | 10.70% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE, SUITE 400 LOS ANGELES, CA 90040 | KAISER FOUNDATION HEALTH PLAN, INC. | — | — | $0 | 0.00% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE, SUITE 400 COMMERCE, CA 900404021 | KAISER FOUNDATION HEALTH PLAN, INC. | $69K | — | $69K | 8.42% |
| PAI-SC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVE, STE 400 LOS ANGELES, CA 90040 | SYMETRA LIFE INSURANCE COMPANY | $53K | — | $53K | 15.00% |
| PIA-SC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE, SUITE 400 LOS ANGELES, CA 90040 | HEALTHNET | — | — | $0 | 0.00% |
| PIA-SC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE, SUITE 400 COMMERCE, CA 90040 | HUMANA INSURANCE COMPANY | $12K | — | $12K | 10.33% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE COMMERCE, CA 90040 | HUMANA DENTAL INSURANCE COMPANY | $11K | — | $11K | 10.10% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE, SUITE 400 COMMERCE, CA 900404016 | VISION SERVICE PLAN | $18K | — | $18K | 16.50% |
| PAI-SC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVE., STE 400 LOS ANGELES, CA 90040 | SYMETRA LIFE INSURANCE COMPANY | $15K | — | $15K | 15.00% |
| PIA-SC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVE, STE 400 LOS ANGELES, CA 90040 | SYMETRA LIFE INSURANCE COMPANY | $9K | — | $9K | 15.00% |
| PIA-SC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE, SUITE 400 COMMERCE, CA 90040 | WESTERN DENTAL SERVICES, INC. | $5K | — | $5K | 10.17% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE COMMERCE, CA 90040 | HUMANA DENTAL INSURANCE COMPANY | — | — | $0 | 0.00% |
| PIA-SC INSURANCE SERVICES, INC.3 Filed as: PIA-SC INSURANCE SERVICES | 5800 S. EASTERN, AVE., STE 400 LOS ANGELES, CA 90040 | SYMETRA LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE COMMERCE, CA 90040 | HUMANA DENTAL INSURANCE COMPANY | $1K | — | $1K | 5.54% |
| PIA-SC INSURANCE SERVICES, INC.3 | 5800 SOUTH EASTERN AVE SUITE 400 COMMERCE, CA 90040 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 9.78% |
| PRINTERS GROUP INSURANCE AGENCY INC3 | 5020 HIGHLANDS PKWY SMYRNA, GA 300825135 | HUMANA INSURANCE COMPANY | $1K | — | $1K | 11.36% |
| PRINTERS GROUP INSURANCE AGENCY INC3 | 5020 HIGHLANDS PKWY SMYRNA, GA 300825135 | HUMANA INSURANCE COMPANY | $815 | — | $815 | 10.08% |
| CENTERSTONE INSURANCE AND FINANCIAL3 | 12404 PARK CENTER DRIVE, STE 4005 DALLAS, TX 752511800 | HUMANA INSURANCE COMPANY | $62 | — | $62 | 0.77% |
| PIASC INSURANCE SERVICES, INC.3 Filed as: PIASC INSURANCE COMPANY | 5800 SOUTH EASTERN AVENUE COMMERCE, CA 90040 | HUMANA INSURANCE COMPANY | $481 | — | $481 | 10.02% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE COMMERCE, CA 90040 | HUMANA INSURANCE COMPANY | $444 | — | $444 | 9.79% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 SOUTH EASTERN AVENUE STE 400 COMMERCE, CA 900404016 | HUMANA INSURANCE COMPANY | $573 | — | $573 | 14.84% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 SOUTH EASTERN AVENUE COMMERCE, CA 90040 | HUMANA INSURANCE COMPANY | $382 | — | $382 | 9.94% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 SOUTH EASTERN AVENUE COMMERCE, CA 90040 | HUMANA INSURANCE COMPANY | $99 | — | $99 | 9.78% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE COMMERCE, CA 900404016 | HUMANA INSURANCE COMPANY | $85 | — | $85 | 9.66% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE COMMERCE, CA 900404016 | HUMANA INSURANCE COMPANY | $21 | — | $21 | 10.14% |
| PIASC INSURANCE SERVICES, INC.3 | 5800 SOUTH EASTERN AVENUE COMMERCE, CA 90040 | HUMANA INSURANCE COMPANY | $21 | — | $21 | — |
| PIASC INSURANCE SERVICES, INC.3 | 5800 S. EASTERN AVENUE COMMERCE, CA 900404016 | HUMANA DENTAL INSURANCE COMPANY | $17 | — | $17 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PIASC INSURANCE SERVICES EIN 95-3988532 AFFILIATE | Claims processing Service code 12 | — | $2.3M |
| GROUP & PENSION ADMINISTRATOR EIN 04-1868050 NONE | Claims processing Service code 12 | — | $1.2M |
| PAYER MATRIX, LLC EIN 81-3946362 AFFILIATE | Other fees Service code 99 | — | $474K |
| PIA-SC INSURANCE SERVICES EIN 95-3988532 AFFILIATE | Other fees Service code 99 | — | $418K |
| PAI-SC INSURANCE SERVICES EIN 95-3988532 AFFILIATE | Claims processing; Other fees Service code 12 | — | $278K |
| AUTOMATION PRINTING CO. EIN 95-2564821 NONE | Insurance services Service code 23 | — | $67K |
| ROSENBERG AND PICK, A LAW CORPORATI EIN 82-1187130 NONE | Accounting (including auditing) Service code 10 | — | $64K |
| ITS PASADENA, LLC EIN 81-4403537 NONE | Consulting (general) Service code 16 | — | $62K |
| WINDES, INC. EIN 95-3001179 NONE | Accounting (including auditing) Service code 10 | — | $54K |
| OLIVER WYMAN, INC. EIN 52-1066481 NONE | Accounting (including auditing) Service code 10 | — | $48K |
| DOCTOR LAW GROUP EIN 46-1696808 NONE | Accounting (including auditing) Service code 10 | — | $33K |
| CALIFORNIA ASSOC. OF SMALL EMPLOYER EIN 33-0835612 NONE | Contract Administrator Service code 13 | — | $31K |
| AMERICAN EXPRESS EIN 13-3133497 NONE | Other fees Service code 99 | — | $30K |
| CHARTER COMMUNICATION EIN 84-1496755 NONE | Insurance services Service code 23 | — | $29K |
| THE DOT PRINTER EIN 95-3483415 NONE | Insurance services Service code 23 | — | $26K |
| CLIFFORD SWAN INVESTMENT COUNSEL LL EIN 95-4749812 NONE | Accounting (including auditing) Service code 10 | — | $22K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Trustee (discretionary) Service code 24 | — | $14K |
| MUSICK, PEELER & GARRETT LLP EIN 95-1777575 NONE | Accounting (including auditing) Service code 10 | — | $13K |
| ATKINSON, ANDELSON, LOYA, RUUD & RO EIN 95-3378600 NONE | Accounting (including auditing) Service code 10 | — | $13K |
| ZIXCORP EIN 75-2834355 NONE | Consulting (general) Service code 16 | — | $12K |
| TRINITY SOLUTIONS LLC EIN 47-5591087 NONE | Consulting (general) Service code 16 | — | $7K |
| ROTH STAFFING COMPANIES, L.P. EIN 33-0633164 NONE | Other fees Service code 99 | — | $7K |
| MITCHELL, SILBERBERG & KNUPP LLC EIN 95-1883538 NONE | Accounting (including auditing) Service code 10 | — | $6K |
| FOR2FI, INC. EIN 85-3863675 NONE | Consulting (general) Service code 16 | — | $5K |
| PIA SAN DIEGO EIN 95-2654595 NONE | Other fees Service code 99 | — | $0 |
| PRINTING & IMAGING ASSOC. OF GA EIN 58-0146550 AFFILIATE | Other fees Service code 99 | — | $0 |
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 | 5,742 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 20 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 5,762 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(37 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,587 | $36.5M |
| Dental(14 contracts, 4 carriers) | HUMANA INSURANCE COMPANY | 1,041 | $1.8M |
| Vision(6 contracts, 3 carriers) | HUMANA INSURANCE COMPANY | 4,103 | $394K |
| Life insurance(14 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 5,762 | $691K |
| Short-term disability | HUMANA INSURANCE COMPANY | 35 | $13K |
| Other(13 contracts, 3 carriers) | SYMETRA LIFE INSURANCE COMPANY | 5,762 | $593K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,762 | — |
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."
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.