| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 18201 VON KARMAN AVENUE IRVINE, CA 92612 | AETNA LIFE INSURANCE COMPANY | $31K | $46 | $31K | 1.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 10505 SORRENTO VALLEY ROAD SAN DIEGO, CA 92121 | AETNA LIFE INSURANCE COMPANY | $4K | $0 | $4K | 0.15% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 3655 NOBEL DRIVE, SUITE 450 SAN DIEGO, CA 92122 | KAISER FOUNDATION HEALTH PLAN INC | $19K | $0 | $19K | 2.55% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | KAISER FOUNDATION HEALTH PLAN INC | $0 | $759 | $759 | 0.10% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | HARTFORD LIFE AND ACCIDENT | $34K | $5K | $39K | 11.52% |
| MJ INSURANCE3 Filed as: LEESA-GAY HINSCH AND VARIOUS AGENTS | 12226 RANCHO BERNARDO ROAD UNIT A SAN DIEGO, CA 92128 | AFLAC | $5K | $22 | $5K | 6.99% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $921 | $0 | $921 | 1.30% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 725 SOUTH FIGUEROA STREET 35TH FLOOR LOS ANGELES, CA 90017 | AFLAC | $697 | $0 | $697 | 0.98% |
| SHEILA HALBROOKS3 Filed as: SHEILA L. HALBROOKS | 3686 NW 111TH AVENUE SUNRISE, FL 33351 | AFLAC | $617 | $30 | $647 | 0.91% |
| JANET IBANEZ3 | 17501 SW 92ND COURT PALMETTO BAY, FL 33157 | AFLAC | $608 | $0 | $608 | 0.86% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICE, INC. | 2255 GLADES ROAD, SUITE 240W BOCA RATON, FL 33431 | AFLAC | $97 | $0 | $97 | 0.14% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD 6TH FLOOR GLENDALE, CA 91203 | AFLAC | $62 | $0 | $62 | 0.09% |
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 | 443 | 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) | 443 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA HEALTH OF CALIFORNIA, INC. | 999 | $8.9M |
| Dental | AETNA LIFE INSURANCE COMPANY | 999 | $2.9M |
| Vision | AETNA LIFE INSURANCE COMPANY | 999 | $2.9M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 443 | $339K |
| Short-term disability | AFLAC | 72 | $71K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 443 | $339K |
| Prescription drug(3 contracts, 3 carriers) | AETNA HEALTH OF CALIFORNIA, INC. | 999 | $8.9M |
| Other(4 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 999 | $3.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 999 | — |
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."
No prospect flags tripped on this filing.