| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | AETNA LIFE INSURANCE CO. | $121K | — | $121K | 5.59% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E. FOOTHILL BLVD. SUITE 100 PASADENA, CA 91107 | AETNA HEALTH, INC. | $92K | — | $92K | 5.09% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11K | — | $11K | 9.12% |
| MCCAREY INC3 Filed as: MCCAREY INC. | 965 MESA DRIVE CAMARILLO, CA 93010 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $822 | $3K | 2.85% |
| ANDREA MARIE TIERCE3 | 2204 PLEASANTWOOD LANE ESCONDIDO, CA 92026 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $733 | $2K | 1.95% |
| JONATHAN MARK DAHL3 | 1722 DIXON STREET REDONDO BEACH, CA 90278 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 1.84% |
| LUZ CASTILLO BARRIGA3 | 22019 JUAN AVENUE HAWAIIAN GARDENS, CA 90716 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $86 | $2K | 1.63% |
| NICHOLAS RYAN DERRICO3 | 1745 W. ORANGEWOOD AVENUE SUITE 212 ORANGE, CA 92868 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $750 | $1K | $2K | 1.59% |
| ANTOINETTE MARI GARCIA3 | 1745 ORANGEWOOD AVENUE UNIT 212 ORANGE, CA 92868 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $765 | $633 | $1K | 1.17% |
| ELIZABETH JEAN HEBER3 | 2511 W. SUNFLOWER AVENUE SANTA ANA, CA 92704 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $740 | — | $740 | 0.62% |
| LILIANA RIVERA3 | 25671 TONADILLA CIRCLE MORENO VALLEY, CA 92551 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $533 | $102 | $635 | 0.53% |
| CELIFLORA THOMPSON3 | 3763 MORNING DOVE AVENUE MERCED, CA 95348 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $495 | $101 | $596 | 0.50% |
| JESSICA RENEE GREENE3 | 630 S. INDIAN HILL BLVD. CLAREMONT, CA 91711 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $481 | $108 | $589 | 0.49% |
| RONALD JAMES GULLION3 | 7750 BAIRNSDALE STREET DOWNEY, CA 90240 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $580 | — | $580 | 0.48% |
| LAURA LETICIA RENOVA3 | 2048 AUDREY HEPBURN STREET LAS VEGAS, NV 89142 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $403 | $69 | $472 | 0.39% |
| BRIAN ROSS MENDENHALL3 | 641 W. PALM DRIVE PLACENTIA, CA 92870 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $421 | — | $421 | 0.35% |
| EDITH VIEYRA3 | 1432 EAST MARKET STREET LONG BEACH, CA 90805 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $415 | $1 | $416 | 0.35% |
| JCASTELLANOS AND ASSOCIATES INC3 Filed as: JCASTELLANOS AND ASSOCIATES INC. | 7441 FIGURA DRIVE JUSTICE, IL 60458 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $327 | $66 | $393 | 0.33% |
| ROSA MURILLO PUENTE3 | 6143 UTE DRIVE SAN JOSE, CA 95123 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $292 | $33 | $325 | 0.27% |
| JAMES P BOADA3 Filed as: JAMES PATRICK BOADA | 30991 VIA MIRADOR SAN JUAN CAPISTRANO, CA 92675 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $322 | — | $322 | 0.27% |
| SALVADOR HEREDIA3 | 700 EL CAMINITO LIVERMORE, CA 94550 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $280 | $31 | $311 | 0.26% |
| GINNY ELIZABETH CRISTALES3 | 43 COUNTRY MILE ROAD POMONA, CA 91766 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $232 | — | $232 | 0.19% |
| ELITTESOLUTIONS LTD3 | 1882 E. 104TH AVENUE DENVER, CO 80233 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $71 | $120 | $191 | 0.16% |
| BRENT D BUFFONE3 Filed as: BRENT D. BUFFONE | 508 N. 22ND STREET LAS VEGAS, NV 89101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $186 | — | $186 | 0.16% |
| SAMUEL DAVID WESLEY3 | 9711 LAUREL STREET BELLFLOWER, CA 90706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $142 | — | $142 | 0.12% |
| ERNESTO ELOY GARCIA3 | 4710 FALLON PLACE DALLAS, TX 75227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $98 | $16 | $114 | 0.10% |
| BENJAMIN ACEVEDO3 | 16211 E. GROVECENTER STREET COVINA, CA 91722 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $109 | — | $109 | 0.09% |
| MAIRA MAGALI ORTIZ3 | 43642 35TH STREET, EAST LANCASTER, CA 93535 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $91 | $5 | $96 | 0.08% |
| HAD LI ENTERPRISES INCORPORATED3 Filed as: HAD LI ENTERPRISES INC. | 11432 SOUTH STREET SUITE 303 CERRITOS, CA 90703 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | $25 | $93 | 0.08% |
| CANDACE ELISE EUSEBIO3 | 124 AMBERSTONE LANE SAN RAMON, CA 94582 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $85 | — | $85 | 0.07% |
| BENEFITTING YOU INC3 Filed as: BENEFITTING YOU INC. | 2497 CITRUS GARDEN CIRCLE HENDERSON, NV 89052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $58 | $23 | $81 | 0.07% |
| CLIENT BENEFIT INSURANCE SERVICES3 | 5675 RUFFIN ROAD SAN DIEGO, CA 92123 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $72 | $3 | $75 | 0.06% |
| ELAISIUS BONNER3 | 974 ROSEFIELD LANE AURORA, IL 60504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | $29 | $69 | 0.06% |
| WENDY SUE GERSHOW3 | 3217 STAR AVENUE OAKLAND, CA 94619 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $65 | $1 | $66 | 0.06% |
| CASEY JAMES KUGLER3 | 906 HAWKS FEATHER LANE ROCKLIN, CA 95765 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $41 | $58 | 0.05% |
| YVETTE KORINA HERNANDEZ3 Filed as: YVETTE KORINA HERRNANDEZ | 1208 WHITTIER AVENUE BREA, CA 92821 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49 | $7 | $56 | 0.05% |
| ERIC BROGAN3 Filed as: ERIC L. MILLER | 4505 W. PIONEER DRIVE 75061 IRVING, TX 75061 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | $1 | $52 | 0.04% |
| DANIEL CORY3 | 300 E. 17TH AVENUE DENVER, CO 80203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | $27 | $43 | 0.04% |
| BARRY W MAAS3 Filed as: BARRY W. MAAS | 1272 W. MORAGA ROAD FRESNO, CA 93711 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | $8 | $39 | 0.03% |
| BRIAN ROBERT LLOYD3 | P.O. BOX 11 KNIGHTSEN, CA 94548 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $21 | $38 | 0.03% |
| RON BLAIR3 | 1857 TULANE AVENUE LONG BEACH, CA 90815 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 0.03% |
| THERESA NETTO PHILLIPS3 | 6219 S. CLARA AVENUE FRESNO, CA 93706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | $4 | $35 | 0.03% |
| CATHERINE LISA LUKE3 | 4787 W. HACIENDA AVENUE CAMPBELL, CA 95008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | $6 | $20 | 0.02% |
| FRANCISCO X CABRERA3 Filed as: FRANCISCO X. CABRERA | P.O. BOX 1871 FRISCO, TX 75034 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19 | — | $19 | 0.02% |
| PENELOPE ROSAS3 | 7300 HENNEMAN WAY MCKINNEY, TX 75070 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | $1 | $16 | 0.01% |
| MICHAEL JAMES LEBRANE3 | 808 EAST 5TH AVENUE SAN MATEO, CA 94402 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.01% |
| KAREN TYLER-DUNN3 | 714 SEYMOUR DRIVE FRISCO, TX 75033 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.01% |
| CATHY BUFFONE3 | 8255 SOUTH LAS VEGAS BLVD. LAS VEGAS, NV 89123 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.01% |
| KEYSHA LATRICE GWIN3 | 1357 SOUTH STANLEY DRIVE LOS ANGELES, CA 90019 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $2 | $6 | 0.01% |
| SANDRA E GONZALEZ3 Filed as: SANDRA E. GONZALEZ | 2037 W. BULLARD AVENUE FRESNO, CA 93711 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| ERICA DEZESE JENKINS3 | 2015 1/2 47TH AVENUE OAKLAND, CA 94601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $2 | $5 | 0.00% |
| GRAND GUILLORY3 | 5116 FURLONG WAY ANTIOCH, CA 94531 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| GARY FANCHER INSURANCE PLLC3 | 1918 COOPER DRIVE IRVING, TX 75061 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.00% |
| BARBARA ANN BASTON3 | 5401 MANSEL LANE FORT WORTH, TX 76134 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| DANA MARIE MOWATT3 | 23701 S. WESTERN AVENUE SUITR 112 TORRANCE, CA 90501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE | SERVICES 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | HARTFORD LIFE AND ACCIDENT | $4K | $1K | $5K | 12.36% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | P.O. BOX 6030 PASADENA, CA 911026030 | AXIS INSURANCE COMPANY | $2K | — | $2K | 9.20% |
| VERONICA TICE4 | 2505 SPRINGBROOK DRIVE LAS VEGAS, NV 89134 | PRE-PAID LEGAL SERVICES INC. DBA LEGAL SHIELD | $2K | — | $2K | 33.81% |
| CHRISTA G AUFDEMBERG INC4 Filed as: CHRISTA G. AUFDEMBERG INC. | 13102 BRITTANY WOODS DRIVE TUSTIN, CA 92780 | PRE-PAID LEGAL SERVICES INC. DBA LEGAL SHIELD | $53 | — | $53 | 0.81% |
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 | 332 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 335 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 604 | $4.0M |
| Dental(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 604 | $2.3M |
| Vision | AETNA LIFE INSURANCE CO. | 604 | $2.2M |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 332 | $164K |
| Prescription drug | AXIS INSURANCE COMPANY | 21 | $20K |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 332 | $170K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 604 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.