| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 320 W. 57TH STREET NEW YORK, NY 10019 | KAISER FOUNDATION HEALTH PLAN INC. | $124K | — | $124K | 5.56% |
| DOVI PLATTNER LIFE INS. SVCS.3 Filed as: DOVI PLATTER LIFE INSURANCE SVCS. | 9742 KIRKSIDE ROAD LOS ANGELES, CA 90035 | KAISER FOUNDATION HEALTH PLAN INC. | $434 | — | $434 | 0.02% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE AND FIN. SVCS | 4851 LBJ FREEWAY, SUITE 100 DALLAS, TX 75244 | KAISER FOUNDATION HEALTH PLAN INC. | $244 | — | $244 | 0.01% |
| DOVI PLATTNER LIFE INS. SVCS.3 | 9742 KIRKSIDE ROAD LOS ANGELES, CA 90035 | METROPOLITAN LIFE INSURANCE COMPANY | $19K | — | $19K | 3.36% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS. & FINANCIAL SVCS. | 4851 LBJ FREEWAY, SUITE 1100 DALLAS, TX 75244 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $520 | $13K | 2.24% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 1.06% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 320 W. 57TH STREET, FLOOR 3 NEW YORK, NY 10019 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $1K | $6K | 1.00% |
| BENEFITMALL3 Filed as: BENEFITMALL HOLDING INC. | 4851 LBJ FREEWAY, SUITE 1100 DALLAS, TX 75244 | METROPOLITAN LIFE INSURANCE COMPANY | $8 | — | $8 | 0.00% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | METROPOLITAN LIFE INSURANCE COMPANY | $47K | — | $47K | 39.19% |
| DOVI PLATTNER LIFE INS. SVCS.3 Filed as: DOVI PLATTER LIFE INS. SVCS. | 9742 KIRKSIDE ROAD LOS ANGELES, CA 90035 | METROPOLITAN LIFE INSURANCE COMPANY | $31K | — | $31K | 26.12% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS. | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 4.66% |
| VOLUNTARY BENEFIT ADVISORS3 | 2400 MAIN STREET, SUITE 200 IRVINE, CA 92614 | METROPOLITAN LIFE INSURANCE COMPANY | $30K | $1 | $30K | 32.61% |
| DOVI PLATTNER LIFE INS. SVCS.3 Filed as: DOVI PLATTER LIFE INS. SVCS. | 9742 KIRKSIDE ROAD LOS ANGELES, CA 90035 | METROPOLITAN LIFE INSURANCE COMPANY | $20K | — | $20K | 21.74% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE AND FIN. SVCS | 12404 PARK CENTRAL DR., SUITE 400S DALLAS, TX 75251 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 3.88% |
| BENEFITMALL3 | 9743 CRESTA DRIVE LOS ANGELES, CA 90035 | HYATT LEGAL PLANS | $515 | — | $515 | 6.91% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 320 W. 57TH STREET, FLOOR 3 NEW YORK, NY 10019 | HYATT LEGAL PLANS | $176 | — | $176 | 2.36% |
| DOVI PLATTNER LIFE INS. SVCS.3 | 9743 CRESTA DRIVE LOS ANGELES, CA 90035 | HARTFORD LIFE AND ACCIDENT | $741 | — | $741 | 10.01% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS. & FINANCIAL SVCS. | 4851 LBJ FREEWAY, SUITE 100 DALLAS, TX 75244 | HARTFORD LIFE AND ACCIDENT | — | $370 | $370 | 5.00% |
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 | 516 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 518 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 647 | $2.2M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 689 | $591K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 689 | $573K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 689 | $580K |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 689 | $580K |
| Long-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 689 | $580K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 647 | $2.2M |
| Other(5 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 768 | $799K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 768 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.