| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRUCORDIA INSURANCE SERVICES LLC3 | 2745 W 600 N LINDON, UT 84042 | BLUE CROSS OF CALIFORNIA | $43K | — | $43K | 4.09% |
| PCF INSURANCE SERVICES OF THE WEST3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | KAISER FOUNDATION HEALTH PLAN, INC. | $22K | — | $22K | 4.58% |
| TRUCORDIA INSURANCE SERVICES LLC3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 1.18% |
| ANDREINI AND COMPANY3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 0.93% |
| TRUCORDIA INSURANCE SERVICES LLC3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 10.85% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | — | $3K | 5.42% |
| PROFESSIONAL GROUP PLANS INC3 Filed as: PROFESSIONAL GROUP PLANS | 225 WIRELESS BLVD STE 200 HAUPPAUGE, NY 11788 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | — | $2K | 9.84% |
| PCF INSURANCE SERVICES OF THE WEST3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | — | $2K | 9.84% |
| TRUCORDIA INSURANCE SERVICES LLC3 Filed as: TRUCORDIA INSURANCE SERVICES | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $2K | — | $2K | 9.84% |
| STACIE L BENDER3 Filed as: STACIE BENDER | 2406 WINDERMERE STREET BAKERSFIELD, CA 93311 | AFLAC | $860 | — | $860 | 6.24% |
| MARKHAM INSURANCE SERVICES, INC.3 | PO BOX 924 TEHACHAPI, CA 93581 | AFLAC | $143 | — | $143 | 1.04% |
| SOUZA INSURANCE SERVICES, INC.3 | 9407 ALMOND CREEK DRIVE BAKERSFIELD, CA 93311 | AFLAC | $136 | — | $136 | 0.99% |
| RICHARD DUSSAIGNE3 | 17901 CHURCHILL ST TEHACHAPI, CA 93561 | AFLAC | $121 | — | $121 | 0.88% |
| GUERRERO SOLIS JR3 | 7725 W CHEERY LYNN RD PHOENIX, AZ 85033 | AFLAC | $101 | — | $101 | 0.73% |
| ROBERT LYNN COMPANY, INC.3 Filed as: THE ROBERT LYNN COMPANY, INC. | PO BOX 1966 BAKERSFIELD, CA 93303 | AFLAC | $99 | — | $99 | 0.72% |
| KEVIN CURTIS3 | 279 W CROGAN ST LAWRENCEVILLE, GA 30046 | AFLAC | $81 | — | $81 | 0.59% |
| WALTER CLAPP INS AG, INC3 | 5307 GREYSTONE COURT BAKERSFIELD, CA 93306 | AFLAC | $70 | — | $70 | 0.51% |
| DANIEL COLE3 Filed as: DANIEL B COLE | 1632 CHRISTINA CT PASO ROBLES, CA 93446 | AFLAC | $61 | — | $61 | 0.44% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: MICHELLE L BROWN | 6108 GOLDSTONE DR BAKERSFIELD, CA 93313 | AFLAC | $56 | — | $56 | 0.41% |
| BROWN & BROWN INSURANCE SERVICES3 Filed as: LYNN BROWN | 4605 BUENA VISTA ROAD SUITE 600 BAKERSFIELD, CA 93311 | AFLAC | $50 | — | $50 | 0.36% |
| HEALTHLAND INS SRVCS INC3 | 2323 E ST BAKERSFIELD, CA 93301 | AFLAC | $38 | — | $38 | 0.28% |
| CHARLES EDWARD PERRY3 | 11638 TORREY PINES DR AUBURN, CA 95602 | AFLAC | $33 | — | $33 | 0.24% |
| ROXANNE WISWOSSER3 | 1004 GEORGIA ST TEHACHAPI, CA 93561 | AFLAC | $20 | — | $20 | 0.15% |
| ROBERT D WILKINS3 | 2687 BAYBERRY DR FRUITLAND, ID 83619 | AFLAC | $20 | — | $20 | 0.15% |
| JOHN J MACIAS JR3 | 950 N UNIVERSITY PARK LOOP RENO, NV 89512 | AFLAC | $18 | — | $18 | 0.13% |
| ROCHELLE R MAURER3 | 3031 PERO DR LAKE HAVASU CITY, AZ 86404 | AFLAC | $13 | — | $13 | 0.09% |
| JENNIFER E MACIAS3 | 950 N UNIVERSITY PARK LOOP RENO, NV 89512 | AFLAC | $11 | — | $11 | 0.08% |
| DAWN T SUCHECKI3 Filed as: DAWN M TYACK | 582 CAMINO MERCADO ARROYO GRANDE, CA 93420 | AFLAC | $8 | — | $8 | 0.06% |
| GARY LOWE3 | 13106 NANTUCKET PL BAKERSFIELD, CA 93314 | AFLAC | $7 | — | $7 | 0.05% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $6 | — | $6 | 0.04% |
| SCOTT RICHARD GLASER3 | 13910 CALLE ROSALES BAKERSFIELD, CA 93314 | AFLAC | $5 | — | $5 | 0.04% |
| MARICELA SANCHEZ3 | 509 E BROWNING AVE HERMISTON, OR 97838 | AFLAC | $3 | — | $3 | 0.02% |
| JACQUELINE VAN SCYOC3 Filed as: JACQUELINE D WINTERTON | 11 BETHEL RD HORSESHOE BEND, ID 83629 | AFLAC | $3 | — | $3 | 0.02% |
| ANA PATRICIA ARRIAGA3 | 980 ARLINGTON CIR WOODLAND, CA 95695 | AFLAC | $2 | — | $2 | 0.01% |
| BRENDA S HAMILTON3 | 37 BIRCH AVE CLOVIS, CA 93611 | AFLAC | $2 | — | $2 | 0.01% |
| TRACI D MACIAS3 | 6195 MONTE RD SAN LUIS OBISPO, CA 93401 | AFLAC | $1 | — | $1 | 0.01% |
| DENA JORDAN3 Filed as: DENA JORDAN KILGORE | 5753 HIGHWAY 85 N PMB 8179 CRESTVIEW, FL 32536 | AFLAC | $1 | — | $1 | 0.01% |
| DUANE ANDREW FRY3 | 641 HIGUERA ST STE 300 SAN LUIS OBISPO, CA 93401 | AFLAC | $1 | — | $1 | 0.01% |
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 | 147 | 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) | 148 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 193 | $1.5M |
| Dental | STANDARD INSURANCE COMPANY | 131 | $137K |
| Vision(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 291 | $153K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 153 | $62K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 153 | $62K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 153 | $62K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 193 | $1.5M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 153 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 291 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.