| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. PASADENA, CA 91107 | AMERITAS LIFE INSURANCE CORP. | $2K | — | $2K | 10.00% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| JAMES P BOADA3 Filed as: JAMES P. BOADA | 32741 POINTE STIRLING 12G DANA POINT, CA 92629 | AFLAC | $267 | — | $267 | 4.67% |
| ROBERT NICKENIG SAUCEDO3 | P.O. BOX 50772 LOS ANGELES, CA 90050 | AFLAC | $150 | $32 | $182 | 3.18% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 130 THEORY SUITE 200 IRVINE, CA 92617 | AFLAC | $176 | — | $176 | 3.08% |
| ALEXANDER ANTHONY NAVES3 | 1670 W. BROADWAY APT. 13D ANAHEIM, CA 92802 | AFLAC | $129 | — | $129 | 2.26% |
| JONATHAN ALI HAJIMOMEN3 | 5752 WHISTLER CIRCLE HUNTINGTON BEACH, CA 92649 | AFLAC | $55 | — | $55 | 0.96% |
| CHARLES A. WOODWARD3 | 2103 E. 39TH STREET STERLING, IL 61081 | AFLAC | $47 | — | $47 | 0.82% |
| DANIEL TYLER ADAMSON3 | 405 S. HIBISCUS WAY ANAHEIM, CA 92808 | AFLAC | $42 | — | $42 | 0.73% |
| AURELIO VELA3 | 1561 E. ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $36 | — | $36 | 0.63% |
| PEGGY K SALMON3 Filed as: PEGGY K. SALMON | 2203 AVENIDA OLIVA SAN CLEMENTE, CA 92673 | AFLAC | $28 | — | $28 | 0.49% |
| PABLO COHEN VELASQUEZ3 | 5036 LINCOLN AVENUE LOS ANGELES, CA 90042 | AFLAC | $28 | — | $28 | 0.49% |
| MICHAEL R. FISHER3 | 50 W. LEMON AVENUE SUITE 2 MONROVIA, CA 91016 | AFLAC | $26 | — | $26 | 0.45% |
| ANDREW R GRETHEL3 Filed as: ANDREW R. GRETHEL | 11739 HICKORY RUN COURT LOVELAND, OH 45140 | AFLAC | $15 | — | $15 | 0.26% |
| MIRIAM F HUNGERFORD3 Filed as: MIRIAM F. HUNGERFORD | 33622 HOLTZ HILL RD DANA POINT, CA 92629 | AFLAC | $11 | — | $11 | 0.19% |
| MOLLIE D PEARSON3 Filed as: MOLLIE D. PEARSON | 1750 PRAIRIE CITY ROAD #130-252 FOLSOM, CA 95630 | AFLAC | $10 | — | $10 | 0.17% |
| G SCOTT COOKE3 | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $8 | — | $8 | 0.14% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT W. BLACKSHEAR | 108 ALSACE COURT PONTE VEDRA BEACH, FL 32082 | AFLAC | $7 | — | $7 | 0.12% |
| DAVID A. HOWARD3 | 2230 SKYVIEW LANE APT 143 COLORADO SPRINGS, CO 80904 | AFLAC | $6 | — | $6 | 0.10% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DRIVE BOCA RATON, FL 33433 | AFLAC | $5 | — | $5 | 0.09% |
| HOWARD SETH KAMLET3 | 11070 KATY FREEWAY APT. 1468 HOUSTON, TX 77043 | AFLAC | $5 | — | $5 | 0.09% |
| THOMPSON & ASSOCIATES INSURANCE INC3 | 2743 S. SANDPIPER AVE ONTARIO, CA 91761 | AFLAC | $4 | — | $4 | 0.07% |
| JAMES J GRETHEL3 Filed as: JAMES J. GRETHEL | 865 CEDAR DRIVE LOVELAND, OH 45140 | AFLAC | $4 | — | $4 | 0.07% |
| TABELLO INS SERVICES INC3 Filed as: TABELLO INSURANCE SERVICES INC. | 1461 SIERRA VISTA DRIVE LA HABRA, CA 90631 | AFLAC | $4 | — | $4 | 0.07% |
| DUANE A ADAMS3 Filed as: DUANE ANDREW FRY | 3707 ANITA AVENUE PASADENA, CA 91107 | AFLAC | $4 | — | $4 | 0.07% |
| JOY E GUNDERSON3 Filed as: JOY E. GUNDERSON | 2824 SAINT ANDREWS ROAD FAIRFIELD, CA 94534 | AFLAC | $3 | — | $3 | 0.05% |
| KERSTIN J VANZANTEN3 Filed as: KERSTIN J. VANZANTEN | 40152 STOWE ROAD TEMECULA, CA 92591 | AFLAC | $3 | — | $3 | 0.05% |
| SETH JAFFE3 Filed as: SETH L. JAFFE | 4127 E. MASSACHUSETTS STREET LONG BEACH, CA 90814 | AFLAC | $2 | — | $2 | 0.03% |
| OWEN JOHNSTON3 | 1300 FAIRHAVEN AVENUE APT 3 SANTA ANA, CA 92705 | AFLAC | $1 | — | $1 | 0.02% |
| MARIA CRISTINA VALENCIA3 | 24154 SPROUT DRIVE CORONA, CA 92883 | AFLAC | $1 | — | $1 | 0.02% |
| IOANNIS T GRATSINOPOULOS3 Filed as: IOANNIS T. GRATSINOPOULOS | 1893 E DAULBY STREET MERIDIAN, ID 83642 | AFLAC | $1 | — | $1 | 0.02% |
| AMANDA M GRIFFITH3 Filed as: AMANDA M. GRIFFITH | 11400 SE 8TH STREET SUITE 375 BELLEVUE, WA 98004 | AFLAC | $1 | — | $1 | 0.02% |
| KRISTIN BEAN3 | 5058 HAWLEY BLVD. SAN DIEGO, CA 92116 | AFLAC | $1 | — | $1 | 0.02% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $226 | — | $226 | 9.99% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $190 | — | $190 | 10.01% |
| IMA, INC.3 | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $156 | — | $156 | 9.99% |
| IMA, INC.3 | P.O. BOX 6030 PASADENA, CA 911026030 | WESTERN DENTAL SERVICES, INC. | $268 | — | $268 | 24.43% |
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 | 288 | 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) | 288 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORP. | 213 | $20K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 213 | $18K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 540 | $12K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 134 | $4K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 540 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 540 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.