| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES OF CA | 2400 KATELLA AVE STE 1100 ANAHEIM, CA 92806 | BLUE SHIELD OF CALIFORNIA | $69K | — | $69K | 5.00% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES OF CA | 2400 E. KATELLA AVENUE SUITE 1100 ANAHEIM, CA 928065980 | AMERITAS LIFE INSURANCE CORP. | $9K | — | $9K | 10.00% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES OF CA | 750 B STREET SUITE 2400 SAN DIEGO, CA 921012476 | AMERITAS LIFE INSURANCE CORP. | — | $3K | $3K | 2.95% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC. | 5446 THORNWOOD DR SAN JOSE, CA 951231224 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $4K | $13K | 14.13% |
| JAMES P BOADA3 Filed as: JAMES P. BOADA | 30991 VIA MIRADOR SAN JUAN CAPISTRANO, CA 92675 | AFLAC | $2K | — | $2K | 3.19% |
| JAMES P BOADA3 | 5700 E. FRANKLIN ROAD SUITE 210 NAMPA, ID 83687 | AFLAC | $1K | — | $1K | 2.26% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC | 2400 E. KATELLA AVE., SUITE 1100 ANAHEIM, CA 92806 | AFLAC | $727 | — | $727 | 1.37% |
| AURELIO VELA INSURANCE SERVICES INC3 | 1561 E. ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $581 | $80 | $661 | 1.25% |
| CHARLIE WOODWARD3 | 22842 WILLARD AVENUE LAKE FOREST, CA 92630 | AFLAC | $517 | — | $517 | 0.98% |
| MICHAEL P SCHNEIDER3 Filed as: MICHAEL P. SCHNEIDER | 1201 FAIRHAVEN AVE APT 11M SANTA ANA, CA 92705 | AFLAC | $262 | $95 | $357 | 0.67% |
| JONATHAN ALI HAJIMOMEN3 | 1561 E. ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $295 | $32 | $327 | 0.62% |
| PEGGY K SALMON3 Filed as: PEGGY SALMON | 2203 AVENIDA OLIVA SAN CLEMENTE, CA 92673 | AFLAC | $304 | — | $304 | 0.57% |
| ANDREW R GRETHEL3 Filed as: ANDREW R. GRETHEL | 600 S. HIDDEN VALLEY ROAD #150 CARLSBAD, CA 92011 | AFLAC | $176 | — | $176 | 0.33% |
| MIRIAM F HUNGERFORD3 Filed as: MIRIAM F. HUNGERFORD | 33622 HOLTZ HILL ROAD DANA POINT, CA 92629 | AFLAC | $128 | — | $128 | 0.24% |
| G SCOTT COOKE3 Filed as: G. SCOTT COOKE | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $116 | — | $116 | 0.22% |
| AURELIO VELA3 | 1561 E. ORANGETHORPE AVENUE STE 200 FULLERTON, CA 92831 | AFLAC | $104 | — | $104 | 0.20% |
| DAVID A. HOWARD3 | 2230 SKYVIEW LANE APT. 143 COLORADO SPRINGS, CO 80904 | AFLAC | $75 | — | $75 | 0.14% |
| DUANE A ADAMS3 Filed as: DUANE ANDREW FRY | 641 HIGUERA STREET SUITE 300 SAN LUIS OBISPO, CA 93401 | AFLAC | $70 | — | $70 | 0.13% |
| VICTORIA K. HIRSCH-BOADA3 Filed as: VICTORIA HIRSCH-BOADA | 30 STONEY POINT LAGUNA NIGUEL, CA 92677 | AFLAC | $69 | — | $69 | 0.13% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT W. BLACKSHEAR | 3453 CATHRYN DRIVE COLUMBUS, GA 31906 | AFLAC | $68 | — | $68 | 0.13% |
| SUWAT ASSAWAMATIYANONT3 | 8171 HAMPTON WOOD DR BOCA RATON, FL 33433 | AFLAC | $65 | — | $65 | 0.12% |
| JAMES J GRETHEL3 Filed as: JAMES J. GRETHEL | 865 CEDAR DRIVE LOVELAND, OH 45140 | AFLAC | $49 | — | $49 | 0.09% |
| CESAR A TORRES3 Filed as: CESAR A. TORRES | 24712 CORTA CRESTA DR LAKE FOREST, CA 92630 | AFLAC | $46 | — | $46 | 0.09% |
| MOLLIE D PEARSON3 | 360 E 1ST ST #130 TUSTIN, CA 92780 | AFLAC | $42 | — | $42 | 0.08% |
| JOY E GUNDERSON3 Filed as: JOY E. GUNDERSON | 4531 VALLECITO LANE YORBA LINDA, CA 92886 | AFLAC | $37 | — | $37 | 0.07% |
| VANZANTEN INSURANCE SERVICES INC3 Filed as: VANZANTEN INSURANCE SERVICES INC. | 40152 STOWE ROAD TEMECULA, CA 92591 | AFLAC | $35 | — | $35 | 0.07% |
| PAUL DUARTE3 | 6901 E. WILLIAMS CIRCLE ANAHEIM, CA 92807 | AFLAC | $23 | $10 | $33 | 0.06% |
| HOWARD SETH KAMLET3 | 11070 KATY FWY APT. 1468 HOUSTON, TX 77043 | AFLAC | $33 | — | $33 | 0.06% |
| MOLLIE D PEARSON3 Filed as: MOLLIE D. PEARSON | 360 EAST FIRST STREET, #130 TUSTIN, CA 92780 | AFLAC | $16 | — | $16 | 0.03% |
| MARIA CHRISTINA VALENCIA3 | 7707 E. VIEWRIM DRIVE ANAHEIM, CA 92808 | AFLAC | $15 | — | $15 | 0.03% |
| OWEN JOHNSTON3 | 796 N. HART STREET ORANGE, CA 92867 | AFLAC | $12 | — | $12 | 0.02% |
| SETH JAFFE3 | 4127 E. MASSACHUSETTS STREET LONG BEACH, CA 90814 | AFLAC | $11 | — | $11 | 0.02% |
| AMANDA M GRIFFITH3 Filed as: AMANDA M. GRIFFITH | 11400 SE 8TH STREET #375 BELLEVUE, WA 98004 | AFLAC | $8 | — | $8 | 0.02% |
| KRISTIN BEAN3 | 8220 UNIVERSITY AVENUE SUITE 413 LA MESA, CA 91942 | AFLAC | $7 | — | $7 | 0.01% |
| IOANNIS T GRATSINOPOULOS3 Filed as: IOANNIS T. GRATSINOPOULOS | 3565 SUMMERLINN DRIVE WEST LINN, OR 97068 | AFLAC | $7 | — | $7 | 0.01% |
| TABELLO INS SERVICES INC3 | 1561 E. ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $7 | — | $7 | 0.01% |
| BARRY MCPHERSON INC3 Filed as: BARRY MCPHERSON INC. | 2211 MICHELSON DRIVE SUITE 1150 IRVINE, CA 92612 | AFLAC | $6 | — | $6 | 0.01% |
| DANIEL G TABELLO3 Filed as: DANIEL G. TABELLO | 1561 E. ORANGE THORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $5 | — | $5 | 0.01% |
| DALE I DAVIS3 Filed as: DALE I. DAVIS | 1856 TRAVELLER ROAD LEXINGTON, KY 40504 | AFLAC | $5 | — | $5 | 0.01% |
| EVERTON A. ROBINSON3 | 5491 FOX HILLS AVENUE BUENA PARK, CA 90621 | AFLAC | $3 | — | $3 | 0.01% |
| BB&T INSURANCE SERVICES, INC.3 Filed as: BB&T INSURANCE SERVICES INC | 750 B STREET SUITE 2400 SAN DIEGO, CA 921018114 | WESTERN DENTAL SERVICES, INC. | $647 | — | $647 | 10.00% |
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 | 266 | 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) | 266 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 261 | $1.4M |
| Dental(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORP. | 217 | $100K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 217 | $94K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 262 | $93K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 262 | $93K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 261 | $1.4M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 262 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 262 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.