| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | PO BOX 62949 VIRGINIA BEACH, VA 23466 | SUNLIFE ASSURANCE COMPANY OF CANADA | $22K | — | $22K | 2.14% |
| 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 | CONTINENTAL AMERICAN INSURANCE COMPANY | $24K | — | $24K | 8.18% |
| PAULINE M. SIMPSON3 Filed as: PAULINE M SIMPSON | 3546 BEN LANE STOCKTON, CA 95206 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 2.49% |
| BETH A. HESTER3 Filed as: BETH A HESTER | 1143 CHAMPAGNE LN MANTECA, CA 95337 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 1.76% |
| SERAPIO M. NAMBO3 Filed as: SERAPIO M NAMBO | 2175 57TH AVE SACRAMENTO, CA 95822 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 1.14% |
| GUSTAVO ARRIAGA II3 Filed as: GUSTAVO ARRAIAGA II | 5237 N RIVERSIDE DR, STE 207 FORT WORTH, TX 76137 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 0.84% |
| NEAL E. DAILY3 Filed as: NEAL E DAILY | 1852 WEST 11TH TRACY, CA 95376 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 0.63% |
| ANA PATRICIA ARRIAGA3 | 980 ARLINGTON CIR WOODLAND, CA 95695 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.42% |
| MARJORIE B. YACOPETTI3 Filed as: MARJORIE B YACOPETTI | PO BOX 2152 LODI, CA 95242 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.37% |
| NEAL E. DAILY3 Filed as: NEAL E DAILY | 1852 WEST 11TH TRACY, CA 95376 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 0.36% |
| FRANCISCO MALDONADO3 | 1242 TULLOCH DR TRACY, CA 95304 | CONTINENTAL AMERICAN INSURANCE COMPANY | $977 | — | $977 | 0.34% |
| ROBIN D HUDSON3 | 687 14TH ST APT F ASTORIA, OR 97103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $908 | — | $908 | 0.31% |
| HENRY DUNN INC3 Filed as: HENRY J IRELAND | 5225 PENTECO ST DR, #24 MODESTO, CA 95356 | CONTINENTAL AMERICAN INSURANCE COMPANY | $848 | — | $848 | 0.29% |
| MELODY B THOMPSON3 Filed as: MELODY P IRELAND | 4640 SPYRES WAY #5 MODESTO, CA 95356 | CONTINENTAL AMERICAN INSURANCE COMPANY | $601 | — | $601 | 0.21% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMP | PO BOX 62949 VIRGINIA BEACH, VA 23466 | CONTINENTAL AMERICAN INSURANCE COMPANY | $536 | — | $536 | 0.18% |
| MARISOL MENDOZA3 | 1951 N GATEWAY, STE 102 FRESNO, CA 93727 | CONTINENTAL AMERICAN INSURANCE COMPANY | $514 | — | $514 | 0.18% |
| BERNAVE NUNEZ3 | 1467 E CAROLYN LN, APT 105 REEDLEY, CA 93654 | CONTINENTAL AMERICAN INSURANCE COMPANY | $511 | — | $511 | 0.18% |
| JEANETTE Y DURRANI3 | 11 S CENTRAL AVE, APT 2115 PHOENIX, AZ 85004 | CONTINENTAL AMERICAN INSURANCE COMPANY | $421 | — | $421 | 0.14% |
| LANCE WALUSKO3 | 1405 E ORANGEBURG AVE MODESTO, CA 95355 | CONTINENTAL AMERICAN INSURANCE COMPANY | $358 | — | $358 | 0.12% |
| ARMANDO AYALA3 | 5612 COMANCHE CT SAN JOSE, CA 95123 | CONTINENTAL AMERICAN INSURANCE COMPANY | $342 | — | $342 | 0.12% |
| EDWARD M RYSKA3 | 6010 ROBLAR ROAD PETALUMA, CA 94952 | CONTINENTAL AMERICAN INSURANCE COMPANY | $320 | — | $320 | 0.11% |
| GARY M KINSER3 | 10055 BOCA CIR PARKER, CO 80134 | CONTINENTAL AMERICAN INSURANCE COMPANY | $274 | — | $274 | 0.09% |
| LES HEINSEN INS SERVICES INC3 | 193 BLUE RAVINE RD, SUITE 140 FOLSOM, CA 95630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $242 | — | $242 | 0.08% |
| ILIC-STONE INS SERVICES INC3 | 1285 W SHAW AVE STE 101 FRESNO, CA 93711 | CONTINENTAL AMERICAN INSURANCE COMPANY | $208 | — | $208 | 0.07% |
| JANICE MARIE SPENCER3 Filed as: JANICE M SPENCER | 3506 BIXBY WAY STOCKTON, CA 95209 | CONTINENTAL AMERICAN INSURANCE COMPANY | $207 | — | $207 | 0.07% |
| ANGELA M FARIA3 | 2212 CLAIR CT VALLEY SPRINGS, CA 95252 | CONTINENTAL AMERICAN INSURANCE COMPANY | $206 | — | $206 | 0.07% |
| MARJORIE B. YACOPETTI3 Filed as: MARJORIE B YACOPETTI | PO BOX 2152 LODI, CA 95242 | CONTINENTAL AMERICAN INSURANCE COMPANY | $202 | — | $202 | 0.07% |
| MICHAEL BANTON3 Filed as: MICHAEL L BANTON | 4373 HARRINGTON COMMONS WILLIAMSBURG, VA 23188 | CONTINENTAL AMERICAN INSURANCE COMPANY | $200 | — | $200 | 0.07% |
| ALLISON FARRIS WENDELBERGER3 Filed as: ALLISON E FARRIS-WENDELBERGER | 760 N GATE ROAD WALNUT CREEK, CA 94598 | CONTINENTAL AMERICAN INSURANCE COMPANY | $199 | — | $199 | 0.07% |
| MICHAEL RHODD3 Filed as: MICHAEL J RHODD | 2818 ROCKVILLE ROAD FAIRFIELD, CA 94534 | CONTINENTAL AMERICAN INSURANCE COMPANY | $198 | — | $198 | 0.07% |
| WALTER REED3 | PO BOX 2487 MANTECA, CA 95337 | CONTINENTAL AMERICAN INSURANCE COMPANY | $154 | — | $154 | 0.05% |
| ROBERT SWAIN3 Filed as: ROBERT P SWAIN | 9308 TAM O SHANTER DR STOCKTON, CA 95210 | CONTINENTAL AMERICAN INSURANCE COMPANY | $144 | — | $144 | 0.05% |
| AMY E COHEN3 Filed as: AMY A PURVIS | 90 GREAT OAKS BLVD, #103 SAN JOSE, CA 95119 | CONTINENTAL AMERICAN INSURANCE COMPANY | $142 | — | $142 | 0.05% |
| DON MUNDELLO JR3 Filed as: DON B MUNDELLO JR | 4092 WINDROSE DRIVE TURLOCK, CA 95382 | CONTINENTAL AMERICAN INSURANCE COMPANY | $141 | — | $141 | 0.05% |
| THEODORE J CRANE3 | 2621 PRESCOTT ROAD, #50 MODESTO, CA 95350 | CONTINENTAL AMERICAN INSURANCE COMPANY | $140 | — | $140 | 0.05% |
| MARISOL MENDOZA3 | 1951 N GATEWAY, STE 102 FRESNO, CA 93727 | CONTINENTAL AMERICAN INSURANCE COMPANY | $134 | — | $134 | 0.05% |
| JAMES SCHLERNITZAUER3 Filed as: JAMES F SCHLERNITZAUE | 1712 CHEYENNE WAY MODESTO, CA 95356 | CONTINENTAL AMERICAN INSURANCE COMPANY | $102 | — | $102 | 0.03% |
| AMY M EDMONDS3 | 193 BLUE RAVINE RD, SUITE 140 FOLSOM, CA 95630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $81 | — | $81 | 0.03% |
| GUILLERMO H PALOMINO3 | 830 BUSH STREET #505 SAN FRANCISCO, CA 94108 | CONTINENTAL AMERICAN INSURANCE COMPANY | $61 | — | $61 | 0.02% |
| DEBORAH CHAPIN3 Filed as: DEBORAH A CHAPIN | 833 N SAN JUAN AVE STOCKTON, CA 95203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $58 | — | $58 | 0.02% |
| JONATHAN D PAYNE3 | 130 SHORELINE CIRCLE, #472 SAN RAMON, CA 94588 | CONTINENTAL AMERICAN INSURANCE COMPANY | $55 | — | $55 | 0.02% |
| JAMES FITZPATRICK3 Filed as: JAMES O FITZPATRICK | 1601 W ELM ST LODI, CA 95242 | CONTINENTAL AMERICAN INSURANCE COMPANY | $51 | — | $51 | 0.02% |
| DERREK LYN KECK3 Filed as: DERREK L KECK | 17809 COUNTRYSIDE CT SALINAS, CA 93907 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50 | — | $50 | 0.02% |
| MAYRA CUARENTA3 | 5225 PEUTECO ST DRIVE #24 MODESTO, CA 95356 | CONTINENTAL AMERICAN INSURANCE COMPANY | $50 | — | $50 | 0.02% |
| LAUREL NICOLE HARMS3 Filed as: LAUREL N HARMS | 334 STEVEN CIRCLE BENICIA, CA 94510 | CONTINENTAL AMERICAN INSURANCE COMPANY | $49 | — | $49 | 0.02% |
| PETER T LYMAN3 | 8 S VOLUNTARIO ST SANTA BARBARA, CA 93103 | CONTINENTAL AMERICAN INSURANCE COMPANY | $44 | — | $44 | 0.02% |
| MICHAEL RHODD3 Filed as: MICHAEL J RHODD | 2818 ROCKVILLE ROAD FAIRFIELD, CA 94534 | CONTINENTAL AMERICAN INSURANCE COMPANY | $41 | — | $41 | 0.01% |
| ROBERT PILKENTON3 | 1039 LOUISE ST, STE 100 HOUSTON, TX 77009 | CONTINENTAL AMERICAN INSURANCE COMPANY | $38 | — | $38 | 0.01% |
| PETER JAMES SARANTIS3 Filed as: PETER J SARANTIS | 1100 CORPORATE WAY FREDERICKSBIRG, CA 22401 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22 | — | $22 | 0.01% |
| LISA M HUTCHERSON3 | 193 BLUE RAVINE RD, SUITE 140 FOLSOM, CA 95630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.01% |
| ROBERT PILKENTON3 | 1100 CORPORATE WAY, STE 100 SACRAMENTO, CA 95831 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16 | — | $16 | 0.01% |
| TANJORE SPLAN3 | 568 F PIRINEN LANE MODESTO, CA 95354 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12 | — | $12 | 0.00% |
| ROBERT E PONCINI3 | 1317 SHARONWOOD DR MODESTO, CA 95355 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.00% |
| MIRIAM V DE LA ROSA3 | 1541 GARY LANE MODESTO, CA 95355 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | — | $8 | 0.00% |
| JEWEL LOPEZ3 Filed as: JEWEL L LOPEZ | 1330 COOPER AVENUE TURLOCK, CA 95380 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| KENNETH STEWART3 | 3156 ETHAN ALLEN LANE TURLOCK, CA 95382 | CONTINENTAL AMERICAN INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES CORP | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 0.74% |
| USI INSURANCE SERVICES LLC Filed as: KIBBLE & PRENTICE HOLDING COMP | 3247 W MARCH LN STE 210 STOCKTON, CA 95219 | AFLAC | $4K | — | $4K | 6.06% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES CORP | PO BOX 62949 VIRGINIA BEACH, VA 23466 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $413 | $413 | 0.75% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS LIFE INSURANCE CO EIN 95-4331852 ADMINISTRATOR | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $326K |
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 | 1,467 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,467 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,166 | $303K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,484 | $199K |
| Short-term disability(3 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 1,484 | $490K |
| Stop-loss / reinsurancereinsurance | SUNLIFE ASSURANCE COMPANY OF CANADA | 1,134 | $1.1M |
| Other | AFLAC | 255 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,484 | — |
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."
No prospect flags tripped on this filing.