| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | KAISER FOUNDATION HEALTH PLAN INC. | $23K | — | $23K | 4.01% |
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 6.09% |
| WILLNER-CARDINET-KIDWELL3 | 333 N. INDIAN HILL BLVD. CLAREMONT, CA 91711 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $51 | — | $51 | 0.12% |
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $813 | — | $813 | 10.00% |
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $735 | — | $735 | 10.00% |
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED VISION CARE) | $599 | — | $599 | 9.13% |
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $404 | — | $404 | 10.00% |
| NIXON BENEFITS3 | 620 NEWPORT CENTER DR., 11TH FLOOR NEWPORT BEACH, CA 92660 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $340 | — | $340 | 9.99% |
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 | 137 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 125 | $569K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 87 | $42K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY (EYEMED VISION CARE) | 105 | $7K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $3K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 35 | $20K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $18K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 125 | $569K |
| Other(3 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 137 | — |
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."
No prospect flags tripped on this filing.