| 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 | $14K | — | $14K | 3.70% |
| ANCHOR PACIFIC INSURANCE SERVICES3 | INC 5205 AVENIDA ENCINAS STE A CARLSBAD, CA 920084366 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $2K | $7K | 13.04% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | IN ATTN ACCOUNTING DEPT. 32110 AGOURA RD WESTLAKE VLG, CA 913614026 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $417 | $2K | 4.19% |
| ANCHOR PACIFIC INSURANCE SERVICES3 Filed as: ANCHOR PACIFIC INS SERVICES INC | 7040 AVENIDA ENCINAS STE 104-340 CARLSBAD, CA 92011 | AFLAC | $928 | — | $928 | 4.16% |
| JONATHAN ALI HAJIMOMEN3 | 1561 E ORANGETHORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $882 | — | $882 | 3.96% |
| LUZ CASTILLO BARRIGA3 Filed as: LUZ C BARRIGA | 22019 JUAN AVE HAWAIIAN GARDENS, CA 90716 | AFLAC | $624 | — | $624 | 2.80% |
| NICKI TURNER3 Filed as: NICKI LYN TURNER | 1561 E ORANGETHORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $420 | — | $420 | 1.88% |
| LIZABETH Z CERVANTES3 | 12121 CENTRALIA ST UNIT 117 LAKEWOOD, CA 90715 | AFLAC | $405 | — | $405 | 1.82% |
| AURELIO VELA INSURANCE SERVICES INC3 | 1561 E ORANGETHORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $399 | — | $399 | 1.79% |
| AURELIO VELA3 | 1561 E ORANGETHORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $206 | — | $206 | 0.92% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $152 | — | $152 | 0.68% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS SVCS LLC | 1920 MAIN ST STE 600 IRVINE, CA 92614 | AFLAC | $80 | — | $80 | 0.36% |
| ROSALIA M ORTEGA3 | 10103 GROVESIDE AVE WHITTIER, CA 90603 | AFLAC | $68 | — | $68 | 0.30% |
| BARRY MCPHERSON INC3 | 2211 MICHELSON DR STE 1150 IRVINE, CA 92612 | AFLAC | $14 | — | $14 | 0.06% |
| LISA A MONTEDORE3 | 26325 CANNES CIR MISSION VIEJO, CA 92692 | AFLAC | $10 | — | $10 | 0.04% |
| DALE I DAVIS3 | 1856 TRAVELLER RD LEXINGTON, KY 40504 | AFLAC | $8 | — | $8 | 0.04% |
| OWEN JOHNSTON3 | 796 N HART ST ORANGE, CA 92867 | AFLAC | $8 | — | $8 | 0.04% |
| ADRIAN V BARBOUR3 | PO BOX 50278 IRVINE, CA 92619 | AFLAC | $8 | — | $8 | 0.04% |
| DANIEL G TABELLO3 | 1561 E ORANGE THORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $6 | — | $6 | 0.03% |
| TABELLO INS SERVICES INC3 | 1561 E ORANGE THORPE AVE STE 200 FULLERTON, CA 92831 | AFLAC | $2 | — | $2 | 0.01% |
| TERRANCE M LUCZAJ3 | 435 HARRODS LN CHARLESTON, CA 29412 | AFLAC | $2 | — | $2 | 0.01% |
| JEFFREY T JOHNSON3 | 30766 MAINMAST DR AGOURA HILLS, CA 91301 | AFLAC | $2 | — | $2 | 0.01% |
| TOMMY C FLEESON3 | 1300 SHETTER AVE APT 1041 JACKSONVILLE BEACH, FL 32250 | AFLAC | $2 | — | $2 | 0.01% |
| TABELLO INS SERVICES INC3 | 1561 E ORANGETHORPE 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 | 107 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 97 | $383K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 156 | $52K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 156 | $52K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 156 | $52K |
| Other | AFLAC | 30 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 156 | — |
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.