| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | 601 UNION ST STE 1000 SEATTLE, WA 98101 | SUNLIFE ASSURANCE COMPANY OF CANADA | — | $24K | $24K | 2.61% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | PO BOX 62949 VIRGINIA BEACH, VA 23466 | CONTINENTAL AMERICAN INSURANCE COMPANY | $34K | — | $34K | 11.63% |
| GUSTAVO ARRIAGA II3 | 1509 W YOSEMITE AVE MANTECA, CA 95337 | CONTINENTAL AMERICAN INSURANCE COMPANY | $15K | — | $15K | 5.11% |
| PAULINE M. SIMPSON3 Filed as: PAULINE SIMPSON | 3546 BEN LANE STOCKTON, CA 95206 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 2.73% |
| ANA PATRICIA ARRIAGA3 | 1509 W YOSEMITE AVE STE A1 MANTECA, CA 95337 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 2.29% |
| FRANCISCO MALDONADO3 | 1242 TULLOCH DR TRACY, CA 95304 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 1.13% |
| NEAL E. DAILY3 Filed as: NEAL E DAILY | 1852 W 11TH ST 310 TRACY, CA 95376 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 0.94% |
| MARJORIE B. YACOPETTI3 Filed as: MARJORIE YACOPETTI | PO BOX 2152 LODI, CA 95242 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 0.68% |
| WALTER REED3 | 1621 SPARROW HAWK ST MANTECA, CA 95337 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 0.65% |
| MJ INSURANCE3 Filed as: ROBIN HUDSON | PO BOX 1124 ASTORIA, OR 97103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.45% |
| BETH A. HESTER3 Filed as: BETH A HESTER | PO BOX 1372 MANTECA, CA 95336 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.41% |
| HENRY IRELAND3 | 5225 PENTECOST DR STE 24 MODESTO, CA 95356 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.37% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | PO BOX 62949 VIRGINIA BEACH, VA 23466 | CONTINENTAL AMERICAN INSURANCE COMPANY | $977 | — | $977 | 0.33% |
| MELODY IRELAND3 | 4640 SPYRES WAY #5 MODESTO, CA 95356 | CONTINENTAL AMERICAN INSURANCE COMPANY | $780 | — | $780 | 0.26% |
| JAMES FITZPATRICK3 | 1601 W ELM ST LODI, CA 95242 | CONTINENTAL AMERICAN INSURANCE COMPANY | $672 | — | $672 | 0.23% |
| JEANETTE Y DURRANI3 Filed as: JEANETTE DURRANI | 6851 ALMOND AVE ORANGEVALE, CA 95662 | CONTINENTAL AMERICAN INSURANCE COMPANY | $605 | — | $605 | 0.20% |
| MICHAEL BANTON3 | 1219 LOCUST AVENUE MANTECA, CA 95337 | CONTINENTAL AMERICAN INSURANCE COMPANY | $542 | — | $542 | 0.18% |
| JAMES SCHLERNITZAUER3 | 1712 CHEYENNE WAY MODESTO, CA 95356 | CONTINENTAL AMERICAN INSURANCE COMPANY | $449 | — | $449 | 0.15% |
| EDWARD M RYSKA3 Filed as: EDWARD RYSKA | 6010 ROBLAR RD PETALUMA, CA 94952 | CONTINENTAL AMERICAN INSURANCE COMPANY | $401 | — | $401 | 0.14% |
| LES HEINSEN INS SERVICES INC3 | 193 BLUE RAVINE RD STE 140 FOLSOM, CA 95630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $387 | — | $387 | 0.13% |
| GARY ALLAN PSOTKA3 Filed as: GARY KINSER | 22700 LAKE FOREST DRIVE APT 536 LAKE FOREST, CA 92630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $343 | — | $343 | 0.12% |
| ALLISON FARRIS WENDELBERGER3 | 760 N GATE ROAD WALNUT CREEK, CA 94598 | CONTINENTAL AMERICAN INSURANCE COMPANY | $272 | — | $272 | 0.09% |
| MICHAEL RHODD3 Filed as: MICHAEL J RHODD | 2818 ROCKVILLE ROAD FAIRFIELD, CA 94534 | CONTINENTAL AMERICAN INSURANCE COMPANY | $248 | — | $248 | 0.08% |
| ROBERT SWAIN3 | 9308 TAM O SHANTER DR STOCKTON, CA 95210 | CONTINENTAL AMERICAN INSURANCE COMPANY | $175 | — | $175 | 0.06% |
| THEODORE CRANE3 | 2621 PRESCOTT RD SPC 250 MODESTO, CA 95350 | CONTINENTAL AMERICAN INSURANCE COMPANY | $155 | — | $155 | 0.05% |
| DON MUNDELLO JR3 | 4092 WINDROSE DRIVE TURLOCK, CA 95382 | CONTINENTAL AMERICAN INSURANCE COMPANY | $153 | — | $153 | 0.05% |
| AMY M EDMONDS3 | 193 BLUE RAVINE RD STE 140 FOLSOM, CA 95630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $128 | — | $128 | 0.04% |
| DEBORAH CHAPIN3 | 833 N SAN JUAN AVE STOCKTON, CA 95203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $99 | — | $99 | 0.03% |
| GUILLERMO H PALOMINO3 Filed as: GUILLERMO PALOMINO | 830 BUSH STREET #505 SAN FRANCISCO, CA 94108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $85 | — | $85 | 0.03% |
| JONATHAN PAYNE3 | 130 SHORELINE CIRCLE #472 SAN RAMON, CA 94588 | CONTINENTAL AMERICAN INSURANCE COMPANY | $76 | — | $76 | 0.03% |
| MAYRA CUARENTA3 | 5225 PENTECOST DR STE 24 MODESTO, CA 95356 | CONTINENTAL AMERICAN INSURANCE COMPANY | $74 | — | $74 | 0.03% |
| ROBERT PILKENTON3 | 1100 CORPORATE WAY STE 100 SACRAMENTO, CA 95831 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | — | $66 | 0.02% |
| LAUREL NICOLE HARMS3 Filed as: LAUREL N HARMS | 334 STEVEN CIRCLE BENICIA, CA 94510 | CONTINENTAL AMERICAN INSURANCE COMPANY | $63 | — | $63 | 0.02% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER LYMAN SR | 8 S VOLUNTARIO ST UNIT A SANTA BARBARA, CA 93103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $61 | — | $61 | 0.02% |
| MICHAEL RHODD3 Filed as: MICHAEL J RHODD | 2818 ROCKVILLE ROAD FAIRFIELD, CA 94534 | CONTINENTAL AMERICAN INSURANCE COMPANY | $57 | — | $57 | 0.02% |
| ROBERT PILKENTON3 | 1100 CORPORATE WAY STE 100 SACRAMENTO, CA 95831 | CONTINENTAL AMERICAN INSURANCE COMPANY | $52 | — | $52 | 0.02% |
| LISA M HUTCHERSON3 | 193 BLUE RAVINE RD STE 140 FOLSOM, CA 95630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.01% |
| PETER JAMES SARANTIS3 Filed as: PETER SARANTIS | 1007 DORTHEA CT FREDERICKSBURG, VA 22401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.01% |
| JEWEL LOPEZ3 Filed as: JEWEL L LOPEZ | 1330 COOPER AVE TURLOCK, CA 95380 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.00% |
| TANJORE SPLAN3 | 568 F PIRINEN LANE MODESTO, CA 95354 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.00% |
| KAREN A WILSON3 | PO BOX 886 TEMPLETON, CA 93465 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.00% |
| ROBERT HICKS INSURANCE SERVICES INC3 Filed as: ROBERT E PNCINI | 1317 SHARONWOOD DR MODESTO, CA 95355 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.00% |
| AMANDA CAREY3 | 7999 PINEVILLE CIRCLE CASTRO VALLEY, CA 94552 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| KENNETH STEWART3 | 3156 ETHAN ALLEN LANE TURLOCK, CA 95382 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| SERAPIO M. NAMBO3 Filed as: SERAPIO NAMBO | 2175 57TH AVE SACRAMENTO, CA 95822 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| LESTER RAY BLACKSHEAR3 Filed as: LESTER BLACKSHEAR | 9192 SE 168TH COOK PLACE THE VILLAGES, FL 32162 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| D BREDESON INSURANCE SERVICES INC3 Filed as: D BREDESON INSURANCE SERVICES, INC. | 9641 HIGUERA ST SUITE 300 SAN LUIS OBISPO, CA 93401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| CHARLES CAREY3 | 16165 LYLE ST SAN LEANDRO, CA 94578 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | 3247 W MARCH LN STE 210 STOCKTON, CA 95219 | VISION SERVICE PLAN | — | — | $0 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 0.75% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES CORP | 200 SUMMIT LAKE DR STE 350 VALHALLA, NY 10595 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | 3247 W MARCH LN STE 210 STOCKTON, CA 95219 | AFLAC | $3K | — | $3K | 3.50% |
| GUSTAVO ARRIAGA II3 | 1140 MANGROVE AVE STE D CHICO, CA 95926 | AFLAC | $2K | $189 | $2K | 3.14% |
| PAULINE M. SIMPSON3 Filed as: PAULINE SIMPSON | 2726 TAMARISK AVE STOCKTON, CA 95207 | AFLAC | $1K | $147 | $2K | 2.02% |
| ANA ARRIAGA3 | 1115 GRAY AVE YUBA CITY, CA 95991 | AFLAC | $1K | $138 | $1K | 1.66% |
| NEAL E. DAILY3 Filed as: NEAL DAILY | 1852 W 11TH ST 310 TRACY, CA 95376 | AFLAC | $668 | $155 | $823 | 1.10% |
| FRANCISCO MALDONADO3 | 1242 TULLOCH DR TRACY, CA 95304 | AFLAC | $358 | $136 | $494 | 0.66% |
| MARJORIE B. YACOPETTI3 Filed as: MARJORIE YACOPETTI | PO BOX 2152 LODI, CA 95241 | AFLAC | $440 | $49 | $489 | 0.65% |
| JEANETTE Y DURRANI3 Filed as: JEANETTE DURRANI | 1531 N ST APT 505 SACRAMENTO, CA 95814 | AFLAC | $272 | — | $272 | 0.36% |
| MELODY IRELAND3 | 5225 PENTECOST DR STE 24 MODESTO, CA 95356 | AFLAC | $248 | — | $248 | 0.33% |
| BETH A. HESTER3 Filed as: BETH HESTER | 1143 CHAMPAGNE LN MANTECA, CA 95337 | AFLAC | $205 | $19 | $224 | 0.30% |
| JAMES SCHLERNITZAUER3 | 1175 GEER RD STE D TURLOCK, CA 95380 | AFLAC | $174 | $44 | $218 | 0.29% |
| HENRY IRELAND3 | 5225 PENTECOST DR STE 24 MODESTO, CA 95356 | AFLAC | $196 | — | $196 | 0.26% |
| JAMES FITZPATRICK3 | 1601 W ELM ST LODI, CA 95242 | AFLAC | $108 | $72 | $180 | 0.24% |
| WALTER REED3 | PO BOX 4431 MANTECA, CA 95337 | AFLAC | $154 | $7 | $161 | 0.21% |
| MJ INSURANCE3 Filed as: ROBIN HUDSON | PO BOX 1124 ASTORIA, OR 97103 | AFLAC | $156 | — | $156 | 0.21% |
| LES HEINSEN INS SERVICES INC3 | 4416 VIA PALAGIO FAIR OAKS, CA 95628 | AFLAC | $135 | — | $135 | 0.18% |
| MICHAEL BANTON3 | 1219 LOCUST AVENUE MANTECA, CA 95337 | AFLAC | $125 | $8 | $133 | 0.18% |
| MICHAEL RHODD3 | 4160 GREEN VALLEY RD FAIRFIELD, CA 94534 | AFLAC | $125 | — | $125 | 0.17% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $89 | — | $89 | 0.12% |
| GARY ALLAN PSOTKA3 Filed as: GARY KINSER | 10055 BOCA CIR PARKER, CO 80134 | AFLAC | $88 | — | $88 | 0.12% |
| THEODORE CRANE3 | 2621 PRESCOTT RD SPC 250 MODESTO, CA 95350 | AFLAC | $48 | — | $48 | 0.06% |
| DON MUNDELLO JR3 | PO BOX 139 DENAIR, CA 95316 | AFLAC | $46 | — | $46 | 0.06% |
| AMY LUDWICK3 | 7403 SESAME ST COLUMBUS, GA 31909 | AFLAC | $41 | — | $41 | 0.05% |
| DEBORAH CHAPIN3 | 2518 TELEGRAPH AVE STOCKTON, CA 95204 | AFLAC | $41 | — | $41 | 0.05% |
| ROBERT SWAIN3 | 9308 TAM O SHANTER DR STOCKTON, CA 95210 | AFLAC | $25 | — | $25 | 0.03% |
| JEWEL LOPEZ3 | 1330 COOPER AVE TURLOCK, CA 95380 | AFLAC | $24 | — | $24 | 0.03% |
| ROBERT PILKENTON3 | 1100 CORPORATE WAY STE 100 SACRAMENTO, CA 95831 | AFLAC | $24 | — | $24 | 0.03% |
| GUILLERMO H PALOMINO3 Filed as: GUILLERMO PALOMINO | 21155 N 56TH ST APT 2120 PHOENIX, AZ 85054 | AFLAC | $22 | — | $22 | 0.03% |
| JONATHAN PAYNE3 | 3572 SHADOWTREE LN CHICO, CA 95928 | AFLAC | $22 | — | $22 | 0.03% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER LYMAN SR | 8 S VOLUNTARIO ST UNIT A SANTA BARBARA, CA 93103 | AFLAC | $21 | — | $21 | 0.03% |
| TANJORE SPLAN3 | 2101 MAID MARIANE LN MODESTO, CA 95355 | AFLAC | $17 | — | $17 | 0.02% |
| LAREL HARMS3 | 785 TURRINI DR DANVILLE, CA 94526 | AFLAC | $16 | — | $16 | 0.02% |
| EDWARD M RYSKA3 Filed as: EDWARD RYSKA | 6010 ROBLAR RD PETALUMA, CA 94952 | AFLAC | $12 | — | $12 | 0.02% |
| LISA A PERRI3 Filed as: LISA HUTCHERSON | 5690 LILYVIEW WAY ELK GROVE, CA 95757 | AFLAC | $9 | — | $9 | 0.01% |
| PETER JAMES SARANTIS3 Filed as: PETER SARANTIS | 1007 DORTHEA CT FREDERICKSBURG, VA 22401 | AFLAC | $8 | — | $8 | 0.01% |
| SERAPIO M. NAMBO3 Filed as: SERAPIO NAMBO | 2175 57TH AVE SACRAMENTO, CA 95822 | AFLAC | $8 | — | $8 | 0.01% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $419 | $419 | 0.75% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES CORP | 200 SUMMIT LAKE DR STE 350 VALHALLA, NY 10595 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS LIFE INSURANCE CO | Plan Administrator Service code 14 | 1351 WM HOWARD TAFT RD CINCINNATI, OH 45206 | $332K |
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 | 1,291 | 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) | 1,291 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CONTINENTAL AMERICAN INSURANCE COMPANY | 1,060 | $296K |
| Vision | VISION SERVICE PLAN | 1,310 | $259K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,612 | $199K |
| Short-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,612 | $199K |
| Stop-loss / reinsurancereinsurance | SUNLIFE ASSURANCE COMPANY OF CANADA | 1,277 | $909K |
| Other | AFLAC | 229 | $75K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,612 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.