| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 18201 VON KARMAN AVENUE, SUITE 200 IRVINE, CA 92612 | CALIFORNIACHOICE | $66K | — | $66K | 5.15% |
| AURELIO VELA INSURANCE SERVICES INC3 Filed as: AURELIO VELO INSURANCE SVCS., INC. | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $1K | $51 | $1K | 6.04% |
| MJ INSURANCE3 Filed as: LISA MONTEDORE AND VARIOUS AGENTS | 26325 CANNES CIRCLE MISSION VIEJO, CA 92692 | AFLAC | $412 | $21 | $433 | 2.34% |
| NICKI TURNER3 | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $357 | $52 | $409 | 2.21% |
| KRISTEN BRUNZELL3 | 340 EAST FIRST STREET, SUITE 3746 TUSTIN, CA 92781 | AFLAC | $337 | — | $337 | 1.82% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN HAJIMOMEN | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $285 | $18 | $303 | 1.64% |
| JOSE PEREZ3 | 8695 PERSHING AVENUE FAIR OAKS, CA 95628 | AFLAC | $111 | $37 | $148 | 0.80% |
| G SCOTT COOKE3 Filed as: G. SCOTT COOKE | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $109 | — | $109 | 0.59% |
| DIANA BUTTS3 | 18201 VON KARMAN AVENUE, SUITE 200 IRVINE, CA 92612 | SAFEGUARD HEALTH PLANS, INC. | $2K | — | $2K | 9.25% |
| MARIBETH TENNISON3 | 3720 SOUTH SUSAN STREET SANTA ANA, CA 92704 | SAFEGUARD HEALTH PLANS, INC. | $1K | — | $1K | 7.41% |
| DIANA BUTTS3 | 18201 VON KARMAN AVENUE, SUITE 200 IRVINE, CA 92612 | SAFEGUARD HEALTH PLANS, INC. | $22 | — | $22 | 10.05% |
| MARIBETH TENNISON3 | 3720 SOUTH SUSAN STREET, SUITE 200 SANTA ANA, CA 92704 | SAFEGUARD HEALTH PLANS, INC. | $17 | — | $17 | 7.76% |
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 | 151 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 157 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIACHOICE | 123 | $1.3M |
| Dental(2 contracts) | SAFEGUARD HEALTH PLANS, INC. | 59 | $18K |
| Vision | SAFEGUARD HEALTH PLANS, INC. | 21 | $219 |
| Life insurance | CALIFORNIACHOICE | 123 | $1.3M |
| Short-term disability | AFLAC | 17 | $19K |
| Prescription drug | CALIFORNIACHOICE | 123 | $1.3M |
| Other(2 contracts, 2 carriers) | CALIFORNIACHOICE | 123 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 123 | — |
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.