| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | BLUE CROSS OF CALIFORNIA | $143K | $1K | $144K | 24.86% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N. KIRKWOOD ROAD, SUITE 300 KIRKWOOD, MO 631224042 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $3K | $9K | 6.96% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $2K | $9K | 6.48% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $657 | — | $657 | 5.61% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 303395946 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION (METLIFE) | $276 | $168 | $444 | 7.93% |
| CENTRO BENEFITS RESEARCH LLC3 | 325 N KIRKWOOD ROAD, SUITE 300 KIRKWOOD, MO 631224042 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION (METLIFE) | $276 | — | $276 | 4.93% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SUITE 1950 ATLANTA, GA 30339 | CONTINENTAL AMERICAN INSURANCE COMPANY | $163 | — | $163 | 5.06% |
| KEVIN MICHAEL NAGLE3 Filed as: KEVIN M NAGLE | 1048 14TH ST #101 SANTA MONICA, CA 90403 | CONTINENTAL AMERICAN INSURANCE COMPANY | $44 | — | $44 | 1.37% |
| MICHAEL J. RINKE3 Filed as: MICHAEL J RINKE | 7349 PONCE AVE WEST HILLS, CA 91307 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 1.18% |
| LABAN M. SPALDING3 Filed as: LABAN M SPALDING | 4297 KLUME AVE STUDIO CITY, CA 91602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $32 | — | $32 | 0.99% |
| MICHELLE L RAMSOUER3 | PO BOX 1394 GEORGE WEST, TX 78022 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 0.81% |
| BRENDA R. MATUTE3 Filed as: BRENDA R MATUTE | 7125 LENNOX AVE #239 VAN NUYS, CA 91405 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19 | — | $19 | 0.59% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $19 | — | $19 | 0.59% |
| CHARLES EDWARD WILLIAMS3 Filed as: CHARLES E WILLIAMS | 847 N. HOLLYWOOD WAY SUITE 204 BURBANK, CA 91505 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.31% |
| SHIRLEY S. HAGER3 Filed as: SHIRLEY S HAGER | 1930 BARRY AVE LOS ANGELES, CA 90025 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.31% |
| CHRISTOPHER HAGER3 Filed as: CHRISTOPHER A HAGER | 8201 PARK HILL DR LOS ANGELES, CA 90045 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.19% |
| STEVEN GOLDSTEIN3 | 6255 VENTURA CANYON VALLEY GLEN, CA 91401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.16% |
| NANCY C. CANO3 Filed as: NANCY C CANO | 735 N. HILL AVE LOS ANGELES, CA 90049 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.09% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BL SUITE 254 NORTHRIDGE, CA 91325 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2 | — | $2 | 0.06% |
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 | 470 | 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) | 470 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 12 | $243K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 383 | $141K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 8 | $3K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 12 | $243K |
| Stop-loss / reinsurancereinsurance | BLUE CROSS OF CALIFORNIA | 493 | $579K |
| Other | CONTINENTAL AMERICAN INSURANCE COMPANY | 8 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 493 | — |
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.