| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WARREN G BENDER CO3 Filed as: WARREN G. BENDER CO. | 516 GIBSON DRIVE, SUITE 240 ROSEVILLE, CA 95678 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $3K | $9K | 7.39% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SVCS | 2 ENTERPRISE DRIVE, SUITE 204 SHELTON, CT 06484 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $5K | $5K | 4.09% |
| RUMBAUGH ONE INSURANCE SOLUTIONS3 | 1390 BROADWAY, SUITE B-125 PLACERVILLE, CA 95667 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 13.95% |
| WARREN G BENDER CO3 Filed as: WARREN G. BENDER CO. | 516 GIBSON DRIVE, SUITE 240 ROSEVILLE, CA 95678 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 9.88% |
| COLLEEN LEWIS3 | 16676 NEW YORK HOUSE ROAD BROWNSVILLE, CA 95919 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 3.41% |
| GIBRAN AHMAD CHAUDHRY3 | 20521 REID LANE SARATOGA, CA 95070 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 3.41% |
| PETER JAMES SARANTIS3 | 5073 PYRAMID WAY SUISUN CITY, CA 94585 | CONTINENTAL AMERICAN INSURANCE COMPANY | $372 | $0 | $372 | 1.19% |
| FALCE BENEFITS GROUP INC.3 Filed as: FALCE BENEFITS GROUP AND VARIOUS | 90 GREAT OAKS BOULEVARD, SUITE 103 SAN JOSE, CA 95119 | CONTINENTAL AMERICAN INSURANCE COMPANY | $182 | $0 | $182 | 0.58% |
| ANDY B GLENN II3 Filed as: ANDY BERNARD GLENN | 2999 DOUGLAS BOULEVARD, SUITE 180 ROSEVILLE, CA 95661 | CONTINENTAL AMERICAN INSURANCE COMPANY | $98 | $0 | $98 | 0.31% |
| WARREN G BENDER CO3 Filed as: WARREN G. BENDER CO. | 516 GIBSON DRIVE, SUITE 240 ROSEVILLE, CA 95678 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $1K | $0 | $1K | 9.84% |
| WARREN G BENDER CO3 Filed as: WARREN G. BENDER CO. | 516 GIBSON DRIVE, SUITE 240 ROSEVILLE, CA 95678 | STANDARD INSURANCE COMPANY | $695 | $0 | $695 | 10.37% |
| WARREN G BENDER CO3 Filed as: WARREN G. BENDER CO. | 516 GIBSON DRIVE, SUITE 240 ROSEVILLE, CA 95678 | ANTHEM LIFE INSURANCE COMPANY | $136 | $0 | $136 | 5.88% |
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 | 231 | 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) | 231 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM LIFE INSURANCE COMPANY | 231 | $2K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 198 | $123K |
| Vision | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | 166 | $15K |
| Life insurance(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 231 | $132K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 41 | $31K |
| Other(4 contracts, 4 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 231 | $163K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 231 | — |
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.