| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RENEE JORDAN3 | 3334 EAST COAST HIGHWAY CORONA DEL MAR, CA 92625 | AETNA LIFE INSURANCE CO. | $51K | — | $51K | 5.04% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: WORD & BROWN INS ADMIN INC | 721 SOUTH PARKER SUITE 300 ORANGE, CA 92868 | AETNA LIFE INSURANCE CO. | $15K | — | $15K | 1.51% |
| RENEE JORDAN3 | 3334 EAST COAST HIGHWAY SUITE 293 CORONA DELL MAR, CA 92625 | KAISER FOUNDATION HEALTH PLAN, INC. | $17K | $7K | $24K | 6.22% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: WORD & BROWN,INSURANCE ADMINISTRATO | 721 SOUTH PARKER STREET SUITE 300 ORANGE, CA 92868 | KAISER FOUNDATION HEALTH PLAN, INC. | $4K | — | $4K | 1.07% |
| RENEE JORDAN3 | 3334 EAST COAST HIGHWAY CORONA DEL MAR, CA 92625 | AETNA HEALTH, INC. | $6K | — | $6K | 4.93% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: WORD & BROWN INS ADMIN INC | 721 SOUTH PARKER SUITE 300 ORANGE, CA 92868 | AETNA HEALTH, INC. | $2K | — | $2K | 1.48% |
| RENEE C JORDAN3 | 3334 EAST COAST HIGHWAY #293 CORONA DEL MAR, CA 92625 | HUMANA INSURANCE COMPANY | $4K | $287 | $5K | 5.33% |
| RENEE JORDAN3 | 3334 EAST COAST HIGHWAY SUITE 293 CORONA DEL MAR, CA 92625 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 9.99% |
| RENEE JORDAN3 | 3334 EAST COAST HIGHWAY SUITE 293 CORONA DEL MAR, CA 92625 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 16.17% |
| NOAH OROPEZA3 Filed as: NOAH G OROPEZA | 5305 NORTH GINNING DRIVE LITCHFIELD PARK, AZ 85340 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $850 | $850 | 5.00% |
| RENEE C JORDAN3 | 3334 EAST COAST HIGHWAY #293 CORONA DEL MAR, CA 92625 | HUMANADENTAL INSURANCE COMPANY | $125 | $13 | $138 | 5.00% |
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 | 182 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 183 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 184 | $1.5M |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 130 | $92K |
| Vision | HUMANA INSURANCE COMPANY | 130 | $89K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 182 | $80K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 182 | $63K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 182 | $63K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 182 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.