| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RICHARD W SHELTON INS. MARKETING3 | 719 SAN BENITO ST., SUITE B HOLLISTER, CA 95023 | PREMIER ACCESS INSURANCE COMPANY | $10K | $0 | $10K | 10.06% |
| GIBRAN AHMAD CHAUDHRY3 | 90 GREAT OAKS BLVD. SUITE 103 SAN JOSE, CA 95119 | AFLAC | $3K | $0 | $3K | 5.97% |
| WENDY JOHNSTON INSURANCE SVCS LLC3 | 780 COUNTRY CLUB DR CARMEL VALLEY, CA 93924 | AFLAC | $1K | $0 | $1K | 2.42% |
| KEVIN D EVANS3 | 3 DEL RIO CIRCLE SOQUEL, CA 95073 | AFLAC | $1K | $0 | $1K | 2.36% |
| FALCE BENEFITS GROUP INC.3 | 191 CYPRESS LN WATSONVILLE, CA 95076 | AFLAC | $1K | $0 | $1K | 2.17% |
| BRIAN DAVID BAUER3 | 90 GREAT OAKS BLVD. SUITE 103 SAN JOSE, CA 95119 | AFLAC | $958 | $165 | $1K | 2.03% |
| BRENDA BUUM JACOBS3 | 526 PINE STREET APTOS, CA 95003 | AFLAC | $691 | $0 | $691 | 1.25% |
| DERREK LYN KECK3 | 18080 DAMIAN WAY SALINAS, CA 93907 | AFLAC | $657 | $0 | $657 | 1.19% |
| YESSICA ARIAS3 | 1130 NEZ PERCE DR HOLLISTER, CA 95023 | AFLAC | $578 | $0 | $578 | 1.05% |
| DANNY J LEON3 | 10550 BAYMEADOWS RD UNIT 429 JACKSONVILLE, FL 32256 | AFLAC | $275 | $231 | $506 | 0.92% |
| CHRIS C NESTER3 | 1610 PARK TRAIL DR HOLLISTER, CA 95023 | AFLAC | $225 | $0 | $225 | 0.41% |
| JOSE MOLINA3 | PO BOX 1833 FREEDOM, CA 95019 | AFLAC | $110 | $0 | $110 | 0.20% |
| AMY PURVIS3 | 90 GREAT OAKS BLVD. SUITE 103 SAN JOSE, CA 85119 | AFLAC | $82 | $0 | $82 | 0.15% |
| ERIC MARINELLI3 | 750 AMBROSE DR SALINAS, CA 93901 | AFLAC | $26 | $0 | $26 | 0.05% |
| GARY LEE BOYER3 | 2900 FAIRVIEW RD SPC 41 HOLLISTER, CA 95023 | AFLAC | $21 | $0 | $21 | 0.04% |
| ALDO ROCHA3 | PO BOX 1833 FREEDOM, CA 85019 | AFLAC | $15 | $0 | $15 | 0.03% |
| RICHARD W SHELTON INS. MARKETING3 | 719 SAN BENITO ST., SUITE B HOLLISTER, CA 95023 | PREMIER ACCESS INSURANCE COMPANY | $2K | $0 | $2K | 11.84% |
| STOP LOSS INSURANCE SERVICES, INC.3 Filed as: STOP LOSS INSURANCE SERVICES INC. | PO BOX 845052 LOS ANGELES, CA 90084 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | $0 | $1K | 9.71% |
| STEALTH PARTNER GROUP LLC3 | 18940 N PIMA RD SUITE 210 SCOTTSDALE, AZ 85255 | SUN LIFE ASSURANCE COMPANY OF CANADA | $720 | $0 | $720 | 6.23% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 9375 E SHEA BLVD SUITE 205 SCOTTSDALE, AZ 85260 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $194 | $194 | 1.68% |
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 | 137 | 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) | 138 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PREMIER ACCESS INSURANCE COMPANY | 206 | $96K |
| Vision | PREMIER ACCESS INSURANCE COMPANY | 196 | $14K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 0 | $12K |
| Other(2 contracts, 2 carriers) | AFLAC | 73 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 206 | — |
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.