| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD SUITE 800 CONCORD, CA 945297924 | UNITEDHEALTHCARE | — | $11K | $11K | 5.26% |
| EDWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 400 SAN FRANSCISCO, CA 941042215 | KAISER FOUNDATION HEALTH PLAN, INC. | $5K | — | $5K | 4.90% |
| BEERE & PURVES INC3 Filed as: BEERE & PURVES INC (GA) | 500 YGNACIO VALLEY RD STE 450 WALNUT, CA 945963853 | KAISER FOUNDATION HEALTH PLAN, INC. | $1K | — | $1K | 1.34% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 941042215 | KAISER FOUNDATION HEALTH PLAN, INC. | $3K | — | $3K | 4.96% |
| BEERE & PURVES INC3 Filed as: BEERE & PURVES INC (GA) | 500 YGNACIO VALLEY RD STE 450 WALNUT CREEK, CA 945963853 | KAISER FOUNDATION HEALTH PLAN, INC. | $548 | — | $548 | 0.91% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST SUITE 2400 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | $300 | $2K | 4.56% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 5668 CONCORD, CA 94524 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $258 | $5K | 9.93% |
| PACIFIC ADVISORS LLC3 | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $95 | — | $95 | 0.19% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1 CALIFORNIA ST STE 400 SAN FRANCISCO, CA 94111 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $285 | $3K | 10.70% |
| RONNY ANN WARNER3 | 470 E WHITEBECK ST KUNA, ID 83634 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $365 | $240 | $605 | 7.32% |
| HELEN R GIROUX3 | 12348 VENTURA BLVD #271 STUDIO CITY, CA 91604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $374 | — | $374 | 4.53% |
| DANA MARIE MOWATT3 | 23701 S WESTERN AVE SPC 112 TORRANCE, CA 90501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $264 | $56 | $320 | 3.87% |
| KRISTI LEAASE3 | 3890 HOWARD AVE LOS ALAMITOS, CA 93015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $40 | $85 | $125 | 1.51% |
| SUSAN GOLD STOKES3 | 104 MISTY HOLLOW WAY HUNTSVILLE, AL 35806 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $97 | $17 | $114 | 1.38% |
| MCCAREY INC3 | 6320 GREENHAVEN DR CARLSBAD, CA 92009 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | $13 | $63 | 0.76% |
| HOLLEM & ASSOCIATES INCORPORATED3 | 9795 GATEWAY DR RENO, NV 89521 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $48 | — | $48 | 0.58% |
| DEBORAH ALEXAKOS3 | 1727 W GREENHEAD DR MERIDIAN, ID 83642 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | — | $31 | 0.38% |
| KEVIN FITZGERALD HOWARD3 | PO BOX 71315 OAKLAND, CA 94612 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | — | $24 | 0.29% |
| JACK ALLEN NORRIS3 Filed as: JACK WU | 821 BURLINGTON ST FILMORE, CA 93015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.27% |
| HARVING HORACIO HURTADO3 | 11309 BORSON ST NORWALK, CA 90650 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | — | $12 | 0.15% |
| LUIS ERNESTO PEREZ3 Filed as: LUIS PEREZ BENEFIT INSURANCE SOLUTI | 861 KENWOOD ST UPLAND, CA 91784 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.06% |
| NOEL HASERT3 | 5104 E AZALEA CIR SIOUX, SD 57108 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| SHANE G ROSS3 | 620 E CABERNET CT UPLAND, CA 91786 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| PATRICIA FERNANDEZ3 | 4534 E DEVONSHIRE AVE PHEONIX, AZ 85018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| STERN INSURANCE GROUP INC3 Filed as: STERN INSURANCE GROUP, INC | 11445 EAST VUA KUBDA NO 2611 SCOTTDALE, AZ 85259 | TRANSAMERICA LIFE INSURANCE COMPANY | $66 | — | $66 | 8.26% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 19000 MACARTHUR BLVD PH FLOOR IRVINE, CA 926121447 | TRANSAMERICA LIFE INSURANCE COMPANY | $23 | — | $23 | 2.88% |
| PARAGON PARTNERS LTD3 Filed as: PARAGON PARTNERS LIMITED | SUITE C-103 9420 E DOUBLETREE RANCE RD SCOTTDALE, AZ 85258 | TRANSAMERICA LIFE INSURANCE COMPANY | $15 | — | $15 | 1.88% |
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 | 8 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 8 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | UNITEDHEALTHCARE | 13 | $426K |
| Dental(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 63 | $77K |
| Vision(2 contracts) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 63 | $77K |
| Life insurance(3 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 63 | $85K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 2 | $8K |
| Prescription drug(4 contracts, 3 carriers) | UNITEDHEALTHCARE | 13 | $426K |
| Other(4 contracts, 3 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 63 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 63 | — |
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.