| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HINDS FINANCIAL GROUP, INC.3 Filed as: HINDS FINANCIAL GROUP INC. | PO BOX 155 PASO ROBLES, CA 93447 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $59K | $0 | $59K | 5.40% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $59K | $0 | $59K | 5.40% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS SVCS | 32110 AGOURA RD WESTLAKE VILLAGE, CA 91361 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $0 | $47K | $47K | 4.32% |
| HINDS FINANCIAL GROUP, INC.3 | 1818 SPRING STREET PASO ROBLES, CA 93446 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $13K | $0 | $13K | 4.95% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $13K | $0 | $13K | 4.95% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS SVCS | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $0 | $9K | $9K | 3.28% |
| HINDS FINANCIAL GROUP, INC.3 Filed as: HINDS FINANCIAL GROUP INC. | 1818 SPRING STREET PASO ROBLES, CA 93446 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | $0 | $9K | 7.50% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | $0 | $9K | 7.50% |
| THERESA E GOMEZ3 | 9815 STEELHEAD RD PASO ROBLES, CA 93446 | AFLAC | $21K | $2K | $22K | 20.57% |
| KAREN A WILSON3 | PO BOX 886 TEMPLETON, CA 93465 | AFLAC | $5K | $475 | $6K | 5.31% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | AFLAC | $2K | $140 | $2K | 2.24% |
| SUZANNE MARIE CROWE3 | 121 VIA MANZANITA CT PASO ROBLES, CA 93446 | AFLAC | $2K | $18 | $2K | 1.99% |
| DANIEL VORDALE INS SVCS INC3 Filed as: DANIEL VORDALE INS SVCS INC. | 3420 ORCUTT RD SUITE 206B SANTA MARIA, CA 93455 | AFLAC | $784 | $111 | $895 | 0.82% |
| DANIEL VORDALE INS SVCS INC3 Filed as: DANIEL VORDALE INS SVCS INC. | 712 MERCURY AVE LOMPOC, CA 93436 | AFLAC | $586 | $0 | $586 | 0.54% |
| ELECTRO MEDICAL SERVICES, INC.3 Filed as: ELECTRO MEDICAL SERVICES INC. | PO BOX 680 CLINTON, NC 28329 | AFLAC | $289 | $0 | $289 | 0.27% |
| MARTIN D ADAMS3 | PO BOX 1927 CLINTON, NC 28329 | AFLAC | $162 | $44 | $206 | 0.19% |
| CHRISTI DIGGS3 | 9156 W 102ND TERRACE OVERLAND PARK, KS 66212 | AFLAC | $194 | $0 | $194 | 0.18% |
| MANNY AM LLC3 | 596 ANNA RD IGNACIO, CO 81137 | AFLAC | $118 | $63 | $181 | 0.17% |
| JOEL S WADDELL3 | 354 NC 581 HWY S GOLDSBORO, NC 27530 | AFLAC | $93 | $44 | $137 | 0.13% |
| SHANNON N SMITH3 | 1525 SE PICCADILLY ST BLUE SPRINGS, MO 64014 | AFLAC | $105 | $0 | $105 | 0.10% |
| THEODORE DAVANTZIS3 | 1226 KAPAREIL LN PASO ROBLES, CA 93446 | AFLAC | $89 | $0 | $89 | 0.08% |
| THERESA MARIE CELANDER3 | 20 LAKE STREET N, SUITE 220 FOREST LAKE, MN 55025 | AFLAC | $49 | $38 | $87 | 0.08% |
| LORI UNGER3 | 30 REDWOOD DR PAGOSA SPRINGS, CO 81147 | AFLAC | $83 | $0 | $83 | 0.08% |
| ASPEN R KEATING3 | 596 ANNA RD IGNACIO, CO 81137 | AFLAC | $45 | $10 | $55 | 0.05% |
| ANGELA M COOK3 | 3701 W 106TH STREET APT 224 LEAWOOD, KS 66206 | AFLAC | $49 | $0 | $49 | 0.05% |
| MANUEL A MADRID3 | 6282 DOUGLAS CT N CHAMPLIN, CO 55316 | AFLAC | $39 | $0 | $39 | 0.04% |
| AMY M BUCHANAN3 | 752 MAIN AVE SUITE 201 DURANGO, CO 81301 | AFLAC | $27 | $0 | $27 | 0.02% |
| ERNESTO T GONZALEZ3 | 22720 CANYON VIEW DR CORONA, CA 92883 | AFLAC | $26 | $0 | $26 | 0.02% |
| MANUEL A MADRID3 | 1048 INDEPENDENT AVE SUITE A207 GRAND JUNCTION, CO 81505 | AFLAC | $23 | $0 | $23 | 0.02% |
| PEGGY K SALMON3 | 2203 AVENIDA OLIVA SAN CLEMENTE, CA 92673 | AFLAC | $21 | $0 | $21 | 0.02% |
| AMY M BUCHANAN3 | 752 MAIN AVE SUITE 201 DURANGO, CA 81301 | AFLAC | $17 | $0 | $17 | 0.02% |
| SHANON M MCGAVER3 | PO BOX 154 ELK RIVER, MN 55330 | AFLAC | $8 | $8 | $16 | 0.01% |
| LUCAS BAUMGARTNER3 | 20 LAKE STREET N SUITE 220 FOREST LAKE, MN 55025 | AFLAC | $5 | $8 | $13 | 0.01% |
| MIRIAM F HUNGERFORD3 | 33622 HOLTZ HILL RD DANA POINT, CA 92629 | AFLAC | $10 | $0 | $10 | 0.01% |
| MATTHEW M PHLAUM3 | 17360 WINGVILLE LN BAKER CITY, OR 97814 | AFLAC | $10 | $0 | $10 | 0.01% |
| ASPEN R LLC3 | 752 MAIN AVE SUITE 201 DURANGO, CO 91301 | AFLAC | $7 | $0 | $7 | 0.01% |
| COLLEEN DONOVAN3 Filed as: COLLEEN M DONOVAN | 3801 W CLEVELAND STREET TAMPA, FL 33609 | AFLAC | $7 | $0 | $7 | 0.01% |
| ERNESTO T GONZALEZ3 | 10653 W LEILANI DR BOISE, ID 83709 | AFLAC | $6 | $0 | $6 | 0.01% |
| LINDA TOWNSEND3 | 2605 E L AVE LA GRANDE, OH 97850 | AFLAC | $3 | $0 | $3 | 0.00% |
| JAMES J SCHAMBER3 | 5700 E FRANKLIN RD SUITE 110 NAMPA, ID 83687 | AFLAC | $2 | $0 | $2 | 0.00% |
| BRIAN K HOWARD3 | 2011 W CLEVELAND STREET SUITE C TAMPA, FL 33606 | AFLAC | $1 | $0 | $1 | 0.00% |
| JASON TERRY3 | 19337 PADDOCK VIEW DR TAMPA, FL 33647 | AFLAC | $1 | $0 | $1 | 0.00% |
| HINDS FINANCIAL GROUP, INC.3 Filed as: HINDS FINANCIAL GROUP INC. | 1818 SPRING STREET PASO ROBLES, CA 93446 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 7.50% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 7.50% |
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 | 462 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 465 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 443 | $1.1M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 340 | $270K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 340 | $270K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 638 | $122K |
| Short-term disability | AFLAC | 109 | $109K |
| Other(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 638 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 638 | — |
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.