| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 8110 E. UNION, SUITE 700 DENVER, CO 80237 | BLUE CROSS OF CALIFORNIA | $46K | $4K | $50K | 6.40% |
| LOCKTON COMPANIES, LLC3 | 725 SOUTH FIGUEROA STREET 35TH FLOOR LOS ANGELES, CA 90017 | AFLAC | $5K | — | $5K | 4.46% |
| MJR INSURANCE SERVICES LLC3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $3K | $125 | $3K | 2.72% |
| MJR INSURANCE SERVICES LLC3 | 7349 PONCE AVENUE WEST HILLS, CA 91307 | AFLAC | $2K | $563 | $3K | 2.21% |
| FRANCISCO MALDONADO3 | 1242 TULLOCH DRIVE TRACY, CA 95304 | AFLAC | $1K | $124 | $2K | 1.32% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BOULEVARD SUITES 700 AND 740 SHERMAN OAKS, CA 91411 | AFLAC | $1K | $135 | $1K | 1.29% |
| JAMES F SCHLERNITZAUER3 Filed as: JAMES F. SCHLERNITZAUER | 1175 GEER ROAD, SUITE D TURTLEROCK, CA 95380 | AFLAC | $1K | $169 | $1K | 1.10% |
| WILLIAM ANDREWS3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $1K | — | $1K | 1.05% |
| MICHAEL JOHN RINKE3 | PO BOX 1116 CAMARILLO, CA 93011 | AFLAC | $848 | $47 | $895 | 0.78% |
| NINA HOFFMANN3 | 22440 COLLINS STREET WOODLAND HILLS, CA 91367 | AFLAC | $782 | $56 | $838 | 0.73% |
| APRIL L FARRELL3 Filed as: APRIL L. FARRELL | 4515 S. MCCLINTOCK DRIVE, SUITE 212 TEMPE, AZ 85282 | AFLAC | $802 | — | $802 | 0.70% |
| ELVA E. ESCOBAR3 | 16242 CALAHAN STREET NORTH HILLS, CA 91343 | AFLAC | $631 | $20 | $651 | 0.57% |
| SERAPIO M. NAMBO3 | 2175 57TH AVENUE SACRAMENTO, CA 95822 | AFLAC | $474 | $58 | $532 | 0.47% |
| LANCE WALUSKO3 | 1405 E. ORANGEBURG AVENUE MODESTO, CA 95355 | AFLAC | $411 | $12 | $423 | 0.37% |
| LILY YAN3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $377 | $23 | $400 | 0.35% |
| SALVADOR AGUILAR3 | 5050 MURPHY CANYON ROAD SAN DIEGO, CA 92123 | AFLAC | $342 | $37 | $379 | 0.33% |
| SPALDING GROUP ENTERPRISES3 | 4297 KLUMP AVENUE STUDIO CITY, CA 91602 | AFLAC | $354 | — | $354 | 0.31% |
| CASSANDRA M MACKENZIE3 | 2330 1ST AVENUE SAN DIEGO, CA 92101 | AFLAC | $260 | $24 | $284 | 0.25% |
| GUSTAVO ARRIAGA II3 | 5237 N. RIVERSIDE DRIVE, SUITE 207 FORT WORTH, TX 76137 | AFLAC | $282 | — | $282 | 0.25% |
| GEORGE PADRON3 | 932 E. VOLK LANE SAN TAN VALLEY, AZ 85140 | AFLAC | $258 | — | $258 | 0.23% |
| ROBERT LEWIS MOSLEY3 | 19920 EAGLE RIDGE LANE PORTER RANCH, CA 91326 | AFLAC | $243 | — | $243 | 0.21% |
| NEAL E. DAILY3 | 1852 W. 11TH STREET, SUITE 310 TRACY, CA 95376 | AFLAC | $226 | — | $226 | 0.20% |
| ESPERANZA LOPEZ3 Filed as: ESPERANZA G. LOPEZ | 7346 VENTURA CANYON AVENUE, APT. 1 VAN NUYS, CA 91405 | AFLAC | $123 | $97 | $220 | 0.19% |
| HIXME INSURANCE SOLUTIONS, INC.3 Filed as: HIXME INSURANCE SOLUTIONS INC. | 31416 AGOURA ROAD, SUITE 105 WESTLAKE VILLAGE, CA 91361 | AFLAC | $211 | — | $211 | 0.18% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 8110 E. UNION AVENUE, SUITE 700 DENVER, CO 80237 | AFLAC | $172 | — | $172 | 0.15% |
| CHRISTOPHER UNDERWOOD3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $70 | $92 | $162 | 0.14% |
| ANA PATRICIA ARRIAGA3 | 980 ARLINGTON CIRCLE WOODLAND, CA 95695 | AFLAC | $160 | — | $160 | 0.14% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $131 | $22 | $153 | 0.13% |
| DANIELLE WEBSTER3 | 2211 E. JAVELINA AVENUE MESA, AZ 85204 | AFLAC | $66 | $69 | $135 | 0.12% |
| ADAM H MICHAELS3 Filed as: ADAM H. MICHAELS | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $129 | — | $129 | 0.11% |
| BRENDA R. MATUTE3 | 50 W. LEMON AVENUE, SUITE 2 MONROVIA, CA 91016 | AFLAC | $111 | — | $111 | 0.10% |
| NICOLE LYNN RIHANEK3 | 2311 MID LANE, APT. 901 HOUSTON, TX 77027 | AFLAC | $99 | $4 | $103 | 0.09% |
| MICHAEL BREITNER3 | 11617 KLING STREET NORTH HOLLYWOOD, CA 91602 | AFLAC | $50 | $48 | $98 | 0.09% |
| ADRIAN RYAN WILLIAMS3 | 991 AMBER DRIVE CAMARILLO, CA 93010 | AFLAC | $33 | $59 | $92 | 0.08% |
| MELISSA A SCHOFIELD3 Filed as: MELISSA SCHOFIELD | 910 W. KATHLEEN ROAD PHOENIX, AZ 85023 | AFLAC | $88 | — | $88 | 0.08% |
| PATTY J NATIONS3 | 7850 N. SILVERBELL ROAD, #114-310 TUCSON, AZ 85743 | AFLAC | $88 | — | $88 | 0.08% |
| BETH A. HESTER3 | 1143 CHAMPAGNE LANE MANTECA, CA 95337 | AFLAC | $86 | — | $86 | 0.08% |
| NINA HOFFMANN3 | 6839 MAYNARD AVENUE WEST HILLS, CA 91307 | AFLAC | $39 | $47 | $86 | 0.08% |
| WILLIAM BRENT MILLER3 | 7708 S. RITA LANE TEMPE, AZ 85284 | AFLAC | $54 | $27 | $81 | 0.07% |
| STEVE CRAIG GOLDENSTEIN3 | 1 S. FAIR OAKS AVENUE, SUITE 200 PASADENA, CA 91105 | AFLAC | $78 | — | $78 | 0.07% |
| RAKY INSURANCE AGENCY3 | 3944 MURPHY CANYON ROAD SAN DIEGO, CA 92123 | AFLAC | $76 | — | $76 | 0.07% |
| GUSTAVO ARRIAGA II3 | 1140 MANGROVE AVENUE, SUITE D CHICO, CA 95926 | AFLAC | $73 | — | $73 | 0.06% |
| ALEXANDRA JACOBI3 Filed as: ALEXANDRA C. DIBIASI LLC | PO BOX 72105 PHOENIX, AZ 85050 | AFLAC | $66 | $2 | $68 | 0.06% |
| FILIPE A COELHO3 Filed as: FILIPE A. COELHO | 4515 S. MCCLINTOCK DRIVE, SUITE 212 TEMPE, AZ 85282 | AFLAC | $60 | — | $60 | 0.05% |
| SCOTT ALEXANDER3 | 27617 NUGGET DRIVE, APT 2 CANYON COUNTRY, CA 91387 | AFLAC | $57 | — | $57 | 0.05% |
| MARK K HASLEY3 Filed as: MARK K. HASLEY | 21732 N. 86TH DRIVE PEORIA, AZ 85382 | AFLAC | $48 | — | $48 | 0.04% |
| MARK HABER & ASSOC INC3 Filed as: MARK HALIM HABER | 9370 SKY PARK COURT, SUITE 250 SAN DIEGO, CA 92123 | AFLAC | $40 | $6 | $46 | 0.04% |
| BRENDA R. MATUTE3 | 1 S. FAIR OAKS AVENUE, SUITE 200 PASADENA, CA 91105 | AFLAC | $45 | — | $45 | 0.04% |
| MELISSA A SCHOFIELD3 Filed as: MELISSA A. SCHOFIELD | 932 E. VOLK LANE SAN TAN VALLEY, AZ 85140 | AFLAC | $44 | — | $44 | 0.04% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $39 | — | $39 | 0.03% |
| MARIA MULLIGAN3 | 24654 N. LAKE PLEASANT PARKWAY 103-417 PEORIA, AZ 85383 | AFLAC | $39 | — | $39 | 0.03% |
| NANETTE STARK3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $37 | — | $37 | 0.03% |
| WALTER O. PECCORINI3 | 1031 MCHENRY AVENUE, SUITE 20 MODESTO, CA 95350 | AFLAC | $36 | — | $36 | 0.03% |
| MICHAEL C WALKER3 Filed as: MICHAEL A. STACHOWIAK | 321 N. CLARK STREET, SUITE 625 CHICAGO, IL 60654 | AFLAC | $32 | — | $32 | 0.03% |
| SPALDING GROUP ENTERPRISES3 | 29404 QUAIL RUN DRIVE AGOURA HILLS, CA 91301 | AFLAC | $32 | — | $32 | 0.03% |
| ENRIQUE OSUNA3 | 3720 CASE AVENUE NORTH HOLLYWOOD, CA 91606 | AFLAC | $32 | — | $32 | 0.03% |
| GEORGE PADRON3 | 11 S. CENTRAL AVENUE, APT. 2115 PHOENIX, AZ 85004 | AFLAC | $28 | — | $28 | 0.02% |
| BRENDAN W DEASY3 Filed as: BRENDAN W. DEASY | 534 W. 7TH AVENUE WEST HOMESTEAD, PA 15120 | AFLAC | $27 | — | $27 | 0.02% |
| MARK LEVINE3 | 10062 GERALD AVENUE NORTH HILLS, CA 91343 | AFLAC | $27 | — | $27 | 0.02% |
| ROSARIO RONQUILLO3 | 4500 PARK GRANADA, SUITE 202 CALABASAS, CA 91302 | AFLAC | $25 | — | $25 | 0.02% |
| REGINALD QUEEN3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $23 | — | $23 | 0.02% |
| ZAKERY ALLEN HARLOW3 | 2960 N. ACADEMY BOULEVARD SUITE 101 COLORADO SPRINGS, CO 80917 | AFLAC | $23 | — | $23 | 0.02% |
| BRIAN G JAEGGI3 Filed as: BRIAN G. JAEGGI | 15607 W. LILLI WAY VAN NUYS, CA 91406 | AFLAC | $21 | — | $21 | 0.02% |
| LES HEINSEN INS SERVICES INC3 Filed as: LES HEINSEN INS SERVICES INC. | 4416 VIA PALAGIO FAIR OAKS, CA 95628 | AFLAC | $18 | — | $18 | 0.02% |
| BORIS ALDEMARO PEREZ3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $11 | $7 | $18 | 0.02% |
| RAKY INSURANCE AGENCY3 | 6220 SEVERIN DRIVE LA MESA, CA 91942 | AFLAC | $17 | — | $17 | 0.01% |
| ARMANDO ROMERO3 | 5805 SEPULVEDA BOULEVARD, SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $17 | — | $17 | 0.01% |
| ROSARIO BERNAL3 | PO BOX 5582 SANTA MONICA, CA 90409 | AFLAC | $15 | — | $15 | 0.01% |
| TOUCH KEO3 | 117 ELLEN AVENUE MODESTO, CA 95351 | AFLAC | $15 | — | $15 | 0.01% |
| RAYMOND J. MULLIGAN3 | 8765 W. KELTON LANE, BLDG B1 PEORIA, AZ 85382 | AFLAC | $12 | — | $12 | 0.01% |
| SCOTT W BLACKSHEAR3 Filed as: SCOTT M. GUTHRIE | 14227 N. 14TH STREET PHOENIX, AZ 85022 | AFLAC | $10 | $2 | $12 | 0.01% |
| KIMBERLY J RODRIGUEZ3 Filed as: KIMBERLY J. RODRIGUEZ | 37057 S. GAMBEL QUAIL DRIVE MARANA, AZ 85658 | AFLAC | $11 | — | $11 | 0.01% |
| LABAN MATTHEW SPALDING3 Filed as: LABAN MATHHEW SPALDING | 29404 QUAIL RUN DRIVE AGOURA HILLS, CA 91301 | AFLAC | $9 | — | $9 | 0.01% |
| ROSARIO BERNAL3 | PO BOX 5609 SANTA MONICA, CA 90409 | AFLAC | $9 | — | $9 | 0.01% |
| SCOTT WEBB3 | 26729 N. 91ST DRIVE PEORIA, AZ 85383 | AFLAC | $9 | — | $9 | 0.01% |
| MULLIGAN BENEFITS LLC3 | 24654 N. LAKE PLEASANT PARKWAY 103-417 PEORIA, AZ 85383 | AFLAC | $8 | — | $8 | 0.01% |
| STEVE CRAIG GOLDSTEIN3 | 6255 VENTURA CANYON AVENUE VAN NUYS, CA 91401 | AFLAC | $6 | — | $6 | 0.01% |
| ROBERT PILKENTON3 Filed as: ROBERT L. PILKENTON | 1100 CORPORATE WAY, SUITE 100 SACRAMENTO, CA 95831 | AFLAC | $6 | — | $6 | 0.01% |
| LABAN MATTHEW SPALDING3 | 4297 KLUMP AVENUE STUDIO CITY, CA 91602 | AFLAC | $6 | — | $6 | 0.01% |
| LISA M HUTCHERSON3 Filed as: LISA M. HUTCHERSON | 5690 LILYVIEW WAY ELK GROVE, CA 95757 | AFLAC | $6 | — | $6 | 0.01% |
| JACQUELINE VEGA3 | 9406 SWINTON AVENUE NORTH HILLS, CA 91343 | AFLAC | $5 | — | $5 | 0.00% |
| REGINALD QUEEN3 | 13032 STANFORD AVENUE LOS ANGELES, CA 90059 | AFLAC | $4 | — | $4 | 0.00% |
| BRANDON M. CROTHERS3 | 1822 ROOSEVELT AVENUE, UNIT B SAN DIEGO, CA 92109 | AFLAC | $4 | — | $4 | 0.00% |
| MICHAEL BREITNER3 | 1409 VENICE STREET SIMI VALLEY, CA 93065 | AFLAC | $3 | — | $3 | 0.00% |
| MARIA MULLIGAN3 | 15131 W. DYNAMITE BOULEVARD SUN CITY WEST, AZ 85387 | AFLAC | $3 | — | $3 | 0.00% |
| KAREN ORTIZ3 | 2705 KOBE DRIVE SAN DIEGO, CA 92123 | AFLAC | $3 | — | $3 | 0.00% |
| JEFFERY S GIBSON3 Filed as: JEFFERY S. GIBSON | 4805 LAKE BROOK DRIVE, SUITE 220 GLEN ALLEN, VA 23060 | AFLAC | $1 | $2 | $3 | 0.00% |
| EDMONDS INSURANCE SERVICES, INC.3 Filed as: EDMONDS INSURANCE SERVICES INC. | 126 LOMITA STREET EL SEGUNDO, CA 90245 | AFLAC | $2 | — | $2 | 0.00% |
| SETH G KNOWLTON3 Filed as: SETH G. KNOWLTON | PO BOX 68766 TUCSON, AZ 85737 | AFLAC | $2 | — | $2 | 0.00% |
| MICHAEL G GLADNICK3 Filed as: MICHAEL G. GLADNICK | 3850 E. BASELINE ROAD, SUITE 116 MESA, AZ 85206 | AFLAC | $2 | — | $2 | 0.00% |
| MICAHEL G. RYAN3 | 836 HOOSIER PASS PRESCOTT, AZ 86301 | AFLAC | $2 | — | $2 | 0.00% |
| NATALIE MALHAM3 | 3850 E. BASELINE ROAD, SUITE 116 MESA, AZ 85206 | AFLAC | $2 | — | $2 | 0.00% |
| MICHAEL T. WYSZYNSKI3 | 146 N. SAN FERNANDO BOULEVARD SUITE 203 BURBANK, CA 91502 | AFLAC | $1 | — | $1 | 0.00% |
| JEFFREY S GIBSON3 Filed as: JEFFREY S. GIBSON | 3009 HUNTON COTTAGE LANE GLEN ALLEN, VA 23060 | AFLAC | $1 | — | $1 | 0.00% |
| AMY E COHEN3 Filed as: AMY MARIE LUDWICK | 305 10TH STREET SACRAMENTO, CA 95814 | AFLAC | $1 | — | $1 | 0.00% |
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 | 210 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 211 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 183 | $781K |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 306 | $85K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 306 | $85K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 306 | $85K |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 183 | $781K |
| Other(2 contracts, 2 carriers) | AFLAC | 306 | $199K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 306 | — |
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.