| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B ST FL 6 SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN INC. | $71K | — | $71K | 3.74% |
| GROSSLIGHT INSURANCE INC.3 | 1333 WESTWOOD BLVD. STE 200 LOS ANGELES, CA 90024 | KAISER FOUNDATION HEALTH PLAN INC. | $16K | — | $16K | 0.87% |
| INSURICA, INC.3 Filed as: INSURICA CA INSURANCE SERVICES INC. | 8500 STOCKDALE HWY STE 200 BAKERSFIELD, CA 93311 | KAISER FOUNDATION HEALTH PLAN INC. | $1K | — | $1K | 0.07% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B ST FL 6 SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN INC. | $33K | — | $33K | 5.25% |
| GROSSLIGHT INSURANCE INC.3 | 1333 WESTWOOD BLVD. STE 200 LOS ANGELES, CA 90024 | KAISER FOUNDATION HEALTH PLAN INC. | $6K | — | $6K | 0.93% |
| GROSSLIGHT INSURANCE INC.3 | 1333 WESTWOOD BLVD STE 200 LOS ANGELES, CA 90024 | SIMNSA | $10K | — | $10K | 7.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE ST. STE 200 NEWPORT BEACH, CA 92660 | UNION SECURITY INSURANCE COMPANY | $12K | — | $12K | 18.45% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE STREET STE 200 NEWPORT BEACH, CA 92660 | PREMIER ACCESS INSURANCE COMPANY | $25K | — | $25K | 40.10% |
| GROSSLIGHT INSURANCE INC.3 | PO BOX 24946 LOS ANGELES, CA 90024 | PREMIER ACCESS INSURANCE COMPANY | $5K | — | $5K | 7.99% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE ST. STE 200 NEWPORT BEACH, CA 92660 | AMERITAS LIFE INSURANCE CORPORATION | $4K | — | $4K | 6.91% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1120 SANCTUARY PRKWY STE 300 ALPHARETTA, GA 30009 | PAN-AMERICAN LIFE INSURANCE COMPANY | $14K | $5K | $19K | 49.29% |
| PAN-AMERICAN LIFE5 | 601 POYDRAS ST. NEW ORLEANS, LA 70130 | PAN-AMERICAN LIFE INSURANCE COMPANY | — | $9K | $9K | 25.09% |
| PAN-AMERICAN BENEFITS SOLUTIONS3 | 1778 NO PLANO RD. #310 RICHARSON, TX 75801 | PAN-AMERICAN LIFE INSURANCE COMPANY | $0 | $5K | $5K | 13.07% |
| GROSSLIGHT INSURANCE INC.3 | 1333 WESTWOOD BLVD STE 200 LOS ANGELES, CA 90024 | PAN-AMERICAN LIFE INSURANCE COMPANY | $1K | $455 | $2K | 4.76% |
| RXEDO0 | PO BOX 678586 DALLAS, TX 75267 | PAN-AMERICAN LIFE INSURANCE COMPANY | $0 | $47 | $47 | 0.12% |
| MICHAEL MENEREY3 | 1120 SANCTUARY PRKWY STE 300 ALPHARETTA, GA 30009 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $4K | — | $4K | 12.23% |
| BENEFITVISION3 | 2690 COMMERCE DR. STE 200 HARRISBURG, PA 17110 | TRUSTMARK INSURANCE COMPANY | $6K | — | $6K | 20.00% |
| GUARANTY CALIFORNIA INS SERVICES3 | 8500 STOCKDALE HIGHWAY BAKERSFIELD, CA 93311 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 6.69% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSRUANCE SERVICES | 333 S HOPE STREET STE 3750 LOS ANGELES, CA 90071 | TRUSTMARK INSURANCE COMPANY | $2K | — | $2K | 5.29% |
| GROSSLIGHT INSURANCE INC.3 | 1333 WESTWOOD BLVD STE 200 LOS ANGELES, CA 90024 | TRUSTMARK INSURANCE COMPANY | $38 | — | $38 | 0.12% |
| BENEFITVISION3 | 2690 COMMERCE DR. HARRISBURG, PA 17110 | TRUSTMARK INSRUANCE COMPANY | $961 | — | $961 | 8.63% |
| GUARANTY CALIFORNIA INS SERVICES3 | 8500 STOCKDALE HIGHWAY BAKERSFIELD, CA 93311 | TRUSTMARK INSRUANCE COMPANY | $461 | — | $461 | 4.14% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSRUANCE SERVICES | 333 S HOPE STREET STE 3750 LOS ANGELES, CA 90071 | TRUSTMARK INSRUANCE COMPANY | $336 | — | $336 | 3.02% |
| ALLIANT INSURANCE SERVICES, INC.3 | 333 S HOPE ST STE 200 LOS ANGELES, CA 90071 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $145 | $1K | 12.11% |
| GROSSLIGHT INSURANCE INC.3 | 1333 WESTWOOD BLVD STE 200 PO BOX 1949 LOS ANGELES, CA 90024 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $227 | — | $227 | 2.23% |
| ALLIANT INSURANCE SERVICES, INC.3 | 333 S HOPE ST. STE 3750 LOS ANGELES, CA 90071 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 18.29% |
| GROSSLIGHT INSURANCE INC.3 | 1333 WESTWOOD BLVD STE 200 LOS ANGELES, CA 90024 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $167 | — | $167 | 1.70% |
| BENEFITVISION3 | 2690 COMMERCE DR. STE 200 HARRISBURG, PA 17110 | TRUSTMARK INSURANCE COMPANY | $1K | — | $1K | 13.41% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICE | 333 S HOPE ST SUITE 3750 LOS ANGELES, CA 90071 | TRUSTMARK INSURANCE COMPANY | $567 | — | $567 | 5.81% |
| GUARANTY CALIFORNIA INS SERVICES3 | 8500 STOCKDALE HIGHWAY #200 BAKERSFIELD, CA 93311 | TRUSTMARK INSURANCE COMPANY | $432 | — | $432 | 4.42% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE ST. STE 200 NEWPORT BEACH, CA 92660 | UNION SECURITY INSURANCE COMPANY | $2K | — | $2K | 19.62% |
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 | 641 | 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) | 641 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 299 | $2.7M |
| Dental(2 contracts, 2 carriers) | SIMNSA | 600 | $207K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 418 | $32K |
| Life insurance(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORPORATION | 571 | $94K |
| Short-term disability(2 contracts, 2 carriers) | TRUSTMARK INSRUANCE COMPANY | 641 | $21K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 36 | $10K |
| Prescription drug | PAN-AMERICAN LIFE INSURANCE COMPANY | 74 | $38K |
| Other(3 contracts, 3 carriers) | UNION SECURITY INSURANCE COMPANY | 226 | $84K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 641 | — |
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.