| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LEAVITT GROUP3 | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | KAISER FOUNDATION HEALTH PLAN, INC. | $43K | $0 | $43K | 3.50% |
| MJ INSURANCE3 Filed as: SERAPIO M. NAMBO & VARIOUS AGENTS | 116 FOUNTAIN OAKS CIRCLE SACRAMENTO, CA 95831 | AFLAC | $1K | $31 | $2K | 4.15% |
| LEAVITT GROUP3 | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | AFLAC | $1K | $0 | $1K | 2.77% |
| ALAINE S. VANNESS3 | 1217 SOUTH SCHOOL STREET LODI, CA 95240 | AFLAC | $708 | $0 | $708 | 1.94% |
| NEAL E. DAILY3 | 1520 DOE TRAIL LANE TRACY, CA 95376 | AFLAC | $504 | $82 | $586 | 1.60% |
| NEAL E. DAILY3 | 1852 WEST 11TH STREET, SUITE 310 TRACY, CA 95376 | AFLAC | $431 | $51 | $482 | 1.32% |
| DAVID B. KITCHEN3 | 5230 HARTER LANE LA CANADA FLINTRIDGE, CA 91011 | AFLAC | $382 | $0 | $382 | 1.04% |
| PETER JAMES SARANTIS3 | 5509 SNOWBRUSH DRIVE ROCKLIN, CA 95677 | AFLAC | $261 | $31 | $292 | 0.80% |
| LEAVITT GROUP3 | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | $366 | $4K | 11.03% |
| LEAVITT GROUP3 | 560 SOUTH 300 EAST, SUITE 150 SALT LAKE CITY, UT 84111 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $183 | $183 | 0.51% |
| LEAVITT GROUP3 | 950 EAST BLANCO ROAD, SUITE 103 SALINAS, CA 93901 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $1K | $0 | $1K | 10.03% |
| GARY E. HUETTINGER4 | 1540 ARABIAN STREET SIMI VALLEY, CA 93065 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $112 | — | $112 | 4.66% |
| MARK MCDONALD4 Filed as: MARK D. MCDONALD | 1685 ORO VISTA ROAD, APARTMENT 173 SAN DIEGO, CA 92154 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $107 | $0 | $107 | 4.45% |
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 | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 194 | $1.2M |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 203 | $12K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 154 | $72K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 194 | $1.2M |
| Other(3 contracts, 3 carriers) | AFLAC | 154 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.