| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 400 GALLERIA PARKEAY, SUITE 300 ATLANTA, GA 30339 | BLUE CROSS OF CALIFORNIA | $169K | $17K | $186K | 30.57% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | SUN LIFE ASSURANCE COMPANY OF CANADA | $6K | — | $6K | 3.42% |
| KEVIN MICHAEL NAGLE3 Filed as: KEVIN M. NAGEL | 1048 14TH STREET SUITE 101 SANTA MONICA, CA 90403 | CONTINENTAL AMERICAN INSURANCE COMPANY | $202 | — | $202 | 2.14% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE SUITE 1950 ATLANTA, GA 30339 | CONTINENTAL AMERICAN INSURANCE COMPANY | $183 | — | $183 | 1.94% |
| MICHAEL J. RINKE3 | 7349 PONCE AVENUE WEST HILLS, CA 91307 | CONTINENTAL AMERICAN INSURANCE COMPANY | $136 | — | $136 | 1.44% |
| MICHELLE L RAMSOUER3 Filed as: MICHELLE L. RAMSOUER | PO BOX 1394 GEORGE WEST, TX 78022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $104 | — | $104 | 1.10% |
| LABAN M. SPALDING3 | 4297 KLUME AVENUE STUDIO CITY, CA 91602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $102 | — | $102 | 1.08% |
| BRENDA R. MATUTE3 | 7125 LENNOX AVENUE SUITE 239 VAN NUYS, CA 91405 | CONTINENTAL AMERICAN INSURANCE COMPANY | $72 | — | $72 | 0.76% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 2922 CORDA LANE LOS ANGELES, CA 90049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 0.70% |
| SHIRLEY S. HAGER3 | 1930 BARRY AVENUE LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $52 | — | $52 | 0.55% |
| BENEFIT COMMUNICATIONS INC3 Filed as: BENEFIT COMMUNICATIONS, INC. | 2977 SIDCO DRIVE NASHVILLE, TN 37204 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50 | — | $50 | 0.53% |
| CHRISTOPHER HAGER3 Filed as: CHRISTOPHER A. HAGER | 8201 PARK HILL DRIVE LOS ANGELES, CA 90045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $49 | — | $49 | 0.52% |
| STEVEN GOLDSTEIN3 | 6255 VENTURA CANYON VALLEY GLEN, CA 91401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24 | — | $24 | 0.25% |
| TIMOTHY W. PETERSON3 | 106 NORTH FLORES STREET LOS ANGELES, CA 90048 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.14% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH A. BUZELLO | 9018 BALBOA BOULEVARD SUITE 254 NORTHRIDGE, CA 91325 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.13% |
| CHARLES EDWARD WILLIAMS3 Filed as: CHARLES E. WILLIAMS | 847 N. HOLLYWOOD WAY SUITE 204 BURBANK, CA 91505 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.13% |
| MICHAEL R. FISHER3 | 1540 S. FAIRFAX AVENUE SUITE 8 LOS ANGELES, CA 90019 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.06% |
| MICHELLE C. LEE3 | 1 SOUTH FAIR OAKS AVENUE SUITE 200 PASADENA, CA 91006 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.04% |
| NANCY C. CANO3 | 735 N. HILL AVENUE PASADENA, CA 91104 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.03% |
| BENEFITS RESOURCE GROUP3 Filed as: BENEFITS RESOURCE LLC | 20 ENTERPRISE SUITE 330 ALISO VIEJO, CA 92656 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.03% |
| DANIEL E ELLIS3 Filed as: DANIEL E. ELLIS | 349 E. CALIFORNIA BOULEVARD PASADENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| ELIZABETH A LENZO3 Filed as: ELIZABETH A. LENZO | 349 E. CALIFORNIA BOULEVARD PASADENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | — | $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 | 551 | 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) | 551 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 34 | $374K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 216 | $178K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 84 | $9K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN OF HAWAII | 34 | $374K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS OF CALIFORNIA | 627 | $607K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 84 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 627 | — |
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.