| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN, INC. | $4K | — | $4K | 1.53% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN, INC. | $3K | — | $3K | 1.75% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | UNION SECURITY INSURANCE COMPANY | $6K | $4K | $10K | 6.82% |
| BRENDA R. MATUTE3 | 7125 LENNOX AVENUE SUITE 239 VAN NUYS, CA 91405 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 3.29% |
| KEVIN MICHAEL NAGLE3 Filed as: KEVIN M. NAGEL | 1048 14TH STREET SUITE 101 SANTA MONICA, CA 90403 | CONTINENTAL AMERICAN INSURANCE COMPANY | $440 | — | $440 | 1.41% |
| BENEFIT COMMUNICATIONS INC3 Filed as: BENEFIT COMMUNICATIONS, INC. | 2977 SIDCO DRIVE NASHVILLE, TN 37204 | CONTINENTAL AMERICAN INSURANCE COMPANY | $384 | — | $384 | 1.23% |
| L MATTHEW SPALDING3 Filed as: MATTHEW L. SPALDING | 4297 KLUME AVENUE STUDIO CITY, CA 91602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $344 | — | $344 | 1.10% |
| MICHAEL J. RINKE3 | 7349 PONCE AVENUE WEST HILLS, CA 91307 | CONTINENTAL AMERICAN INSURANCE COMPANY | $294 | — | $294 | 0.94% |
| MICHELLE L RAMSOUER3 Filed as: MICHELLE L. RAMSOUER | PO BOX 1394 GEORGE WEST, TX 78022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $237 | — | $237 | 0.76% |
| STEVEN GOLDSTEIN3 | 6255 VENTURA CANYON VALLEY GLEN, CA 91401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $186 | — | $186 | 0.60% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 12121 WILSHIRE BOULEVARD SUITE 1000 LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $159 | — | $159 | 0.51% |
| SHIRLEY S. HAGER3 | 1930 BARRY AVENUE LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $124 | — | $124 | 0.40% |
| TIMOTHY W. PETERSON3 | 106 NORTH FLORES STREET LOS ANGELES, CA 90048 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | — | $39 | 0.12% |
| OSCAR R. RIVERA3 | 4639 CORONA SUITE 34 CORPUS CHRISTI, TX 78411 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.12% |
| CHRISTOPHER HAGER3 Filed as: CHRISTOPHER A. HAGER | 12121 WILSHIRE BOULEVARD SUITE 1000 LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.10% |
| CHARLES EDWARD WILLIAMS3 Filed as: CHARLES E. WILLIAMS | 847 N. HOLLYWOOD WAY SUITE 204 BURBANK, CA 91505 | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.10% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH A. BUZZELLO | — | CONTINENTAL AMERICAN INSURANCE COMPANY | $31 | — | $31 | 0.10% |
| NANCY C. CANO3 | 735 N. HILL AVENUE PASADENA, CA 91104 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL A. STACHOWIAK | 25 FALCON HILLS DRIVE HIGHLANDS RANCH, CO 80126 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| MICHELLE C. LEE3 | 1 SOUTH FAIR OAKS AVENUE SUITE 200 PASADENA, CA 91006 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| ELIZABETH A LENZO3 Filed as: ELIZABETH A. LENZO | 349 E. CALIFORNIA BOULEVARD PASADENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | UDC DENTAL OF CALIFORNIA, INC. | — | $384 | $384 | 2.80% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN OF COLORADO, INC. | — | $22 | $22 | 0.22% |
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 | 492 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 494 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 487 | $2.7M |
| Dental(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 179 | $161K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 82 | $31K |
| Prescription drug(5 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 487 | $2.7M |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 82 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 487 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.