| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CKFIS INC3 | — | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | — | — | $0 | 0.00% |
| CAL-KOR INSURANCE3 Filed as: CAL-KOR INSURANCE SERVICES | 3200 WILSHIRE BOULEVARD 1700 SOUTH TOWER LOS ANGELES, CA 90010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $39K | — | $39K | 10.00% |
| CAL-KOR INSURANCE3 Filed as: CAL-KOR INSURANCE SERVICES | 3200 WILSHIRE BOULEVARD 1700 SOUTH TOWER LOS ANGELES, CA 90010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $17K | — | $17K | 10.00% |
| CKFIS INC3 Filed as: CKFIS, INC. | 3255 WILSHIRE BOULEVARD SUITE 1500 LOS ANGELES, CA 90010 | VISION SERVICE PLAN | $6K | — | $6K | 4.00% |
| CAL-KOR INSURANCE3 Filed as: CAL-KOR INSURANCE SERVICES | 3200 WILSHIRE BOULEVARD 1700 SOUTH TOWER LOS ANGELES, CA 90010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | — | $8K | 10.00% |
| CAL-KOR INSURANCE3 Filed as: CAL-KOR INSURANCE SERVICES | 3200 WILSHIRE BOULEVARD 1700 SOUTH TOWER LOS ANGELES, CA 90010 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 10.00% |
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 | 1,250 | 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) | 1,250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,899 | $1.4M |
| Vision | VISION SERVICE PLAN | 1,226 | $162K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,250 | $389K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,250 | $84K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,250 | $175K |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,234 | $1.7M |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,250 | $414K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,899 | — |
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."
No prospect flags tripped on this filing.