| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC | 701 B STREET FLOOR 6 SAN DIEGO, CA 92101 | BLUE SHIELD OF CALIFORNINA CALIFORNIA PHYSICIANS' SERVICE | — | $221K | $221K | 2.61% |
| INNOVA INSURANCE SOLUTIONS3 | 1930 S. BREA CANYON SUITE 200 DIAMOND BAR, CA 91765 | BLUE SHIELD OF CALIFORNINA CALIFORNIA PHYSICIANS' SERVICE | — | $200K | $200K | 2.36% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET FLOOR 6 SAN DIEGO, CA 921018156 | KAISER FOUNDATION HEALTH PLAN INC | $63K | $2K | $64K | 2.95% |
| INNOVA INSURANCE SOLUTIONS3 | 1930 S BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 917654011 | KAISER FOUNDATION HEALTH PLAN INC | $31K | — | $31K | 1.43% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 701 B STREET SUITE 600 SAN DIEGO, CA 92101 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $21K | $16K | $37K | 6.01% |
| INNOVA INSURANCE SOLUTIONS3 | 1930 S BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 91765 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $16K | — | $16K | 2.55% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 1301 DOVE STREET SUITE 200 NEWPORT BEACH, CA 92660 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $13K | — | $13K | 6.00% |
| INNOVA INSURANCE SOLUTIONS3 Filed as: INNOVA INSURANCE SOLUTION | 1930 S BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 91765 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 4.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 1301 DOVE STREET SUITE 200 NEWPORT BEACH, CA 92660 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | — | $12K | 5.98% |
| INNOVA INSURANCE SOLUTIONS3 Filed as: INNOVA INSURANCE SOLUTION | 1930 S BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 91765 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 4.02% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVIC | 1301 DOVE STREET SUITE 200 NEWPORT BEACH, CA 92660 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 5.95% |
| INNOVA INSURANCE SOLUTIONS3 Filed as: INNOVA INSURANCE SOLUTION | 1930 S BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 91765 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 4.05% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 701 B STREET FLOOR 6 SAN DIEGO, CA 921018156 | VISION SERVICE PLAN | $6K | — | $6K | 5.74% |
| INNOVA INSURANCE SOLUTIONS3 | 1930 S BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 917654011 | VISION SERVICE PLAN | $4K | — | $4K | 3.38% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $2K | — | $2K | 3.80% |
| INNOVA INSURANCE SOLUTIONS3 Filed as: INNOVA INSURANCE SOLUTIONS INC | 1930 S. BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 91765 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $1K | — | $1K | 1.94% |
| INNOVA INSURANCE SOLUTIONS3 | 1930 S BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 91765 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $581 | — | $581 | 3.28% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 1301 DOVE STREET SUITE 200 NEWPORT BEACH, CA 92660 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $533 | — | $533 | 5.98% |
| INNOVA INSURANCE SOLUTIONS3 Filed as: INNOVA INSURANCE SOLUTION | 1930 S BREA CANYON ROAD SUITE 200 DIAMOND BAR, CA 91765 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $359 | — | $359 | 4.03% |
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 | 1,500 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,500 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUE SHIELD OF CALIFORNINA CALIFORNIA PHYSICIANS' SERVICE | 1,996 | $10.7M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 1,145 | $608K |
| Vision | VISION SERVICE PLAN | 1,164 | $107K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 937 | $221K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,500 | $158K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,500 | $193K |
| Prescription drug | BLUE SHIELD OF CALIFORNINA CALIFORNIA PHYSICIANS' SERVICE | 1,996 | $8.5M |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,500 | $230K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,996 | — |
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.