| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MOMENTOUS INSURANCE BROKERAGE, INC.3 Filed as: MOMENTOUS INSURANCE BROKERAGE INC. | 5990 SEPULVEDA BLVD. 550 VAN NUYS, CA 91411 | UNITEDHEALTHCARE INSURANCE COMPANY | $131K | — | $131K | 4.99% |
| MOMENTOUS INSURANCE BROKERAGE, INC.3 Filed as: MOMENTOUS INSURANCE BROKERAGE | 5990 SEPULVEDA BLVD, SUITE 550 VAN NUYS, CA 91411 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $31K | $2K | $32K | 15.75% |
| MOMENTOUS INSURANCE BROKERAGE, INC.3 Filed as: MOMENTOUS INSURANCE BROKERAGE | 5990 SEPULVEDA BLVD. STE 550 VAN NUYS, CA 91411 | UNITEDHEALTHCARE INSURANCE COMPANY | $9K | — | $9K | 9.13% |
| AVANT-GARDE INSURANCE SOLUTIONS3 Filed as: AVANT GARDE INSURANCE SOLUTIONS | 728 N LUCIA AVE. REDONDO BEACH, CA 90277 | AFLAC | $839 | $11 | $850 | 4.83% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 5990 SEPULVEDA BLVD STE 550 VAN NUYS, CA 91411 | AFLAC | $322 | — | $322 | 1.83% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BLVD STE 700 SHERMAN OAKS, CA 91411 | AFLAC | $316 | — | $316 | 1.80% |
| RICHARD J KUNZ3 | 601 MONTGOMERY ST. STE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $177 | — | $177 | 1.01% |
| RUSSELL L WARYE3 Filed as: RUSSELL NAKAMURA | 4500 PARK GRANADA STE 202 CALABASAS, CA 91302 | AFLAC | $101 | $2 | $103 | 0.59% |
| ECHO NEO NINJA INS SOLUTIONS3 | 4500 PARK GRANADA CALABASAS, CA 91302 | AFLAC | $69 | $2 | $71 | 0.40% |
| ADAM H MICHAELS3 Filed as: ADAM MICHAELS | 2922 CORDA LN LOS ANGELES, CA 90049 | AFLAC | $53 | — | $53 | 0.30% |
| DEWITT STERN OF CALIFORNIA LLC3 Filed as: DEWITT STERN OF CALIFORNIA | 801 N BRAND BLVD STE 650 GLENDALE, CA 91203 | AFLAC | $34 | — | $34 | 0.19% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PUILASKI, TN 38478 | AFLAC | $32 | — | $32 | 0.18% |
| JOSEPH BUSSELLO3 | 14747 N NORTHSIGHT BLVD STE 111-454 SCOTTSDALE, AZ 82560 | AFLAC | $23 | — | $23 | 0.13% |
| AMY EVANS3 | 4932 N NORTH MAYWOOD AVE. LOS ANGELES, CA 90041 | AFLAC | $21 | — | $21 | 0.12% |
| BRIAN GEORGE JAEGGI3 | 8591 DYNASTY DR. BOCA RATON, FL 33433 | AFLAC | $15 | — | $15 | 0.09% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVE. LOS ANGELES, CA 90045 | AFLAC | $11 | — | $11 | 0.06% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK ST. STE 615 CHICAGO, IL 60654 | AFLAC | $9 | — | $9 | 0.05% |
| BRIAN G JAEGGI3 | 15607 W LILLI WAY VAN NUYS, CA 91406 | AFLAC | $6 | — | $6 | 0.03% |
| MICHAEL R. FISHER3 Filed as: MICHAEL R FISHER | 50 W. LEMON AVE. STE 2 MONROVIA, CA 91016 | AFLAC | $3 | — | $3 | 0.02% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS | 1431 NE 55TH ST. FORT LAUDERDALE, FL 33334 | AFLAC | $2 | — | $2 | 0.01% |
| LARA K GRANDE3 | 117 MORNING MIST LANE FRANKLIN, TN 37064 | AFLAC | $1 | — | $1 | 0.01% |
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 | 191 | 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) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 419 | $2.6M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 419 | $2.6M |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 419 | $2.6M |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 191 | $94K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 191 | $205K |
| Other(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 191 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 419 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.