| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CAL-KOR INSURANCE3 | 3200 WILSHIRE BLVD #1700 SOUTH TOWER LOS ANGELES, CA 90010 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $158K | $94K | $251K | 5.53% |
| CAL-KOR INSURANCE3 | 3200 WILSHIRE BLVD 1700 SOUTH TOWER LOS ANGELES, CA 90010 | CIGNA HEALTHCARE OF CALIFORNIA | $118K | — | $118K | 2.89% |
| CAL-KOR INSURANCE3 | 3200 WILSHIRE BLVD #1700 SOUTH TOWER LOS ANGELES, CA 90010 | OXFORD HEALTH INSURANCE, INC | $9K | — | $9K | 1.60% |
| CHARLIE CHIN3 | 3200 WILSHIRE BLVD #1700 SOUTH TOWER LOS ANGELES, CA 90010 | OXFORD HEALTH INSURANCE, INC | $7K | $1K | $8K | 1.47% |
| CAL-KOR INSURANCE3 | 3200 WILSHIRE BLVD #1700 SOUTH TOWER LOS ANGELES, CA 90010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $14K | — | $14K | 10.00% |
| CAL-KOR INSURANCE3 | 3200 WILSHIRE BLVD #1700 SOUTH TOWER LOS ANGELES, CA 90010 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 5.15% |
| ASSOCIATED FINANCIAL GROUP LLC3 | 711 EISENHOWER DR ATTN COMMISSIONS DEPARTMENT KIMBERLY, WI 54136 | METROPOLITAN LIFE INSURANCE COMPANY | — | $29 | $29 | 0.03% |
| CAL-KOR INSURANCE3 | 3200 WILSHIRE BLVD #1700 SOUTH TOWER LOS ANGELES, CA 90010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 10.00% |
| CAL-KOR INSURANCE3 | 3200 WILSHIRE BLVD #1700 SOUTH TOWER LOS ANGELES, CA 90010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 10.00% |
| CAL-KOR INSURANCE3 | 3200 WILSHIRE BLVD #1700 SOUTH TOWER LOS ANGELES, CA 90010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $901 | — | $901 | 9.99% |
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 | 940 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 951 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 2,279 | $9.2M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 2,279 | $4.5M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 2,078 | $113K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 940 | $145K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 940 | $31K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 940 | $74K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 2,279 | $4.5M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 940 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,279 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.