| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N 1ST ST STE 202 SAN JOSE, CA 951126371 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | $565 | $12K | 10.49% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N 1ST ST STE 202 SAN JOSE, CA 951126371 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $114 | $3K | 10.46% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N 1ST ST STE 202 SAN JOSE, CA 951126371 | VISION SERVICE PLAN | $1K | — | $1K | 10.00% |
| ALFRED CLIFFORD3 | 5660 PARKWAY DUBLIN, OH 43017 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $140 | $357 | $497 | 7.86% |
| ACRISURE LLC3 Filed as: ACRISURE OF CA DBA SHOREPOINT INSUR | 1120 BRISTOL ST COSTA MESA, CA 92626 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $278 | $33 | $311 | 4.92% |
| DARRYL W VIDOR3 | 4030 LENNANE AVE SACRAMENTO, CA 95834 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $119 | $43 | $162 | 2.56% |
| ALAYNE MATA3 | 3276 KATHY WAY LOOMIS, CA 95650 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $37 | $9 | $46 | 0.73% |
| DEL DOWNEY3 | 32056 MERLOT CRST TEMECULA, CA 92591 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $40 | — | $40 | 0.63% |
| ANDREA MARIE TIERCE3 | 2204 PLEASANTWOOD LN ESCONDIDO, CA 92026 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $34 | — | $34 | 0.54% |
| MICHAEL F FAHEY III3 | 411 AVENIDA ADOBE SAN CLEMENTE, CA 92672 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $7 | $4 | $11 | 0.17% |
| DANIEL E WILLIAMS3 | 6785 W 7750 N AMERICAN FORK, UT 84003 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $5 | — | $5 | 0.08% |
| JOHN A. BRADLEY INC.3 Filed as: JOHN A BRADLEY INC | 207 SOUTH MAIN ST FOUNTAIN INN, SC 29644 | COLONIAL LIFE & ACCIDENTAL INSURANCE COMPANY | $1 | — | $1 | 0.02% |
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 | 134 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 134 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 139 | $116K |
| Vision | VISION SERVICE PLAN | 140 | $15K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 204 | $31K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 204 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 204 | — |
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.