| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: DICKERSON EMPLOYEE BENEFITS | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | KAISER FOUNDATION HEALTH PLAN INC | $41K | $0 | $41K | 5.03% |
| MYKISHA L. THOMAS3 | 3886 3RD AVENUE LOS ANGELES, CA 90008 | AFLAC | $5K | $123 | $5K | 15.21% |
| MJ INSURANCE3 Filed as: ABEL A. DELUNA AND VARIOUS AGENTS | 1270 WEST 39TH STREET, APARTMENT 5 LOS ANGELES, CA 90037 | AFLAC | $708 | $23 | $731 | 2.27% |
| TALHA ZAQUIR RAHMAN3 | 10973 PRESCOTT DRIVE FRISCO, TX 75033 | AFLAC | $684 | $32 | $716 | 2.22% |
| DAVID HERNANDEZ3 | 2239 WEST 190TH STREET TORRANCE, CA 90504 | AFLAC | $479 | $23 | $502 | 1.56% |
| MYKISHA L. THOMAS3 | 607 EAST 67TH STREET, APARTMENT 4 INGLEWOOD, CA 90302 | AFLAC | $338 | $0 | $338 | 1.05% |
| NURDEEN ABIMBOLA SALAMI3 | 756 WEST 173RD PLACE GARDENA, CA 90247 | AFLAC | $178 | $13 | $191 | 0.59% |
| STEVEN R. JOHNSON3 | 6167 BRISTOL PARKWAY, SUITE 106 CULVER CITY, CA 90230 | AFLAC | $164 | $0 | $164 | 0.51% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: DICKERSON EMPLOYEE BENEFITS | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | — |
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 | 143 | 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) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 143 | $817K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 143 | $0 |
| Vision | VISION SERVICE PLAN | 143 | $0 |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 143 | $0 |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 143 | $32K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 143 | $0 |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 143 | $817K |
| Other(2 contracts, 2 carriers) | AFLAC | 143 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.