| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANCHOR PACIFIC INSURANCE SERVICES3 Filed as: ANCHOR PACIFIC INS SERVICES INC | DBA STEPHANIE SAN ANTONIO 5205 AVE ENCINAS STE A CARLSBAD, CA 92008 | HEALTH NET | $12K | — | $12K | 3.49% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INSURANCE | BROKERS 1920 MAIN ST STE 600 IRVINE, CA 92614 | HEALTH NET | $976 | — | $976 | 0.29% |
| ANCHOR PACIFIC INSURANCE SERVICES3 | INC 5205 AVENIDA ENCINAS STE A CARLSBAD, CA 920084366 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $829 | $4K | 10.80% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | ATTN ACCOUNTING DEPT 32110 AGOURA RD WESTLAKE VLG, CA 913614026 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 3.38% |
| JONATHAN ALI HAJIMOMEN3 | 1561 EAST ORANGETHORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $1K | $34 | $1K | 7.94% |
| LISA A MONTEDORE3 | 15204 MERIWETHER WAY TUSTIN, CA 92782 | AFLAC | $490 | — | $490 | 3.04% |
| LUZ CASTILLO BARRIGA3 Filed as: LUZ C BARRIGA | 22019 JUAN AVE HAWAIIAN GARDENS, CA 90716 | AFLAC | $486 | — | $486 | 3.02% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $472 | $14 | $486 | 3.02% |
| ACRISURE LLC3 Filed as: SULLIVAN CURIS MONROE INS SVCS LLC | 1920 MAIN STREET SUITE 600 IRVINE, CA 92614 | AFLAC | $464 | — | $464 | 2.88% |
| AURELIO VELA3 | 1561 E ORANGETHORPE AVENUE STE 200 FULLERTON, CA 92831 | AFLAC | $68 | $27 | $95 | 0.59% |
| ROSALIA M ORTEGA3 | 10103 GROVESIDE AVE WHITTIER, CA 90603 | AFLAC | $76 | — | $76 | 0.47% |
| BARRY MCPHERSON INC3 | 2211 MICHELSON DR STE 1150 IRVINE, CA 92612 | AFLAC | $32 | $14 | $46 | 0.29% |
| RAUL C ROSADO3 | 17052 COLIMA RD APT 210 HACIENDA HEIGHTS, CA 91745 | AFLAC | $16 | — | $16 | 0.10% |
| ADRIAN V BARBOUR3 | 2507 E 15TH ST UNIT 203 LONG BEACH, CA 90804 | AFLAC | $9 | — | $9 | 0.06% |
| DANIEL G TABELLO3 | 1461 SIERRA VISTA DR LA HABRA, CA 90631 | AFLAC | $8 | — | $8 | 0.05% |
| TERRANCE M LUCZAJ3 | 255 E RINCON STREET SUITE 110 CORONA, CA 92879 | AFLAC | $6 | — | $6 | 0.04% |
| ADRIAN V BARBOUR3 | 2507 E 15TH ST UNIT 203 LONG BEACH, CA 90804 | AFLAC | $2 | — | $2 | 0.01% |
| DANIEL G TABELLO3 | 1561 E ORANGE THORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $2 | — | $2 | 0.01% |
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 | 114 | 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) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 101 | $331K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 142 | $35K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 142 | $35K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 142 | $35K |
| Other | AFLAC | 27 | $16K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 142 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.