| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD SUITE 600 GLENDALE, CA 91203 | KAISER FOUNDATION HEALTH PLAN INC | $31K | — | $31K | 5.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | KAISER FOUNDATION HEALTH PLAN INC | — | $510 | $510 | 0.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD SUITE 600 GLENDALE, CA 91203 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $6K | — | $6K | 9.91% |
| MYKISHA THOMAS3 | 607 EAST 67TH STREET, SUITE 4 INGLEWOOD, CA 90302 | AFLAC | $2K | $157 | $3K | 9.26% |
| DAVID HERNANDEZ3 | 3848 WEST CARSON STREET SUITE 110 TORRANCE, CA 90503 | AFLAC | $794 | $31 | $825 | 2.97% |
| MJ INSURANCE3 Filed as: ADAM MICHAELS AND VARIOUS AGENTS | 12121 WILSHIRE BOULEVARD, SUITE 122 LOS ANGELES, CA 90025 | AFLAC | $554 | — | $554 | 2.00% |
| STEVEN R. JOHNSON3 Filed as: STEVEN JOHNSON | 6167 BRISTOL PARKWAY, SUITE 106 CULVER CITY, CA 90230 | AFLAC | $496 | $31 | $527 | 1.90% |
| JOANNA GONZALEZ DORADO3 | 19009 SOUTH LAUREL PARK ROAD SUITE 494 COMPTON, CA 90220 | AFLAC | $179 | — | $179 | 0.65% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN HAJIMOMEN | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $143 | — | $143 | 0.52% |
| MARSHA DANSBY3 | 5 MAPLERIDGE DRIVE EDGECLIFF VILLAGE, TX 76134 | AFLAC | $95 | — | $95 | 0.34% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD SUITE 600 GLENDALE, CA 91203 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | — | $3K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD, SUITE 1000 ROLLING MEADOWS, IL 60008 | VISION SERVICE PLAN | $955 | — | $955 | 6.06% |
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 | 115 | 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) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 109 | $623K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 103 | $58K |
| Vision | VISION SERVICE PLAN | 95 | $16K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 118 | $27K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 118 | $27K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 109 | $623K |
| Other(2 contracts, 2 carriers) | AFLAC | 118 | $55K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 118 | — |
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.