| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INSURANCE SVCS OF THE WEST, LLC | 2745 WEST 600 NORTH LONDON, UT 84042 | BLUE CROSS OF CALIFORNIA | $23K | $0 | $23K | 3.05% |
| A & COMPANY, INC.3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | BLUE CROSS OF CALIFORNIA | $10K | $0 | $10K | 1.40% |
| PCF INSURANCE SERVICES OF THE WEST3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | KAISER FOUNDATION HEALTH PLAN, INC. | $19K | $0 | $19K | 5.04% |
| ANDREINI AND COMPANY3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 2.20% |
| PCF INSURANCE SERVICES OF THE WEST3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 7.39% |
| ANDREINI AND COMPANY3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | $0 | $1K | 2.37% |
| ASSUREDPARTNERS Filed as: EMERSON ROGERS, LLC | 1787 SENTRY PARKWAY WEST VEVA 16, SUITE 320 BLUE BELL, PA 19422 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $716 | $0 | $716 | 4.94% |
| 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. | $548 | $0 | $548 | 3.78% |
| ANDREINI AND COMPANY3 | 220 WEST 20TH AVENUE SAN MATEO, CA 94403 | EYEMED VISION CARE ON BEHALF OF FIDELITY SECURITY LIFE INSURANCE CO. | $168 | $0 | $168 | 1.16% |
| STACIE L BENDER3 Filed as: STACIE BENDER | 2406 WINDERMERE STREET BAKERSFIELD, CA 93311 | AFLAC | $2K | $0 | $2K | 13.42% |
| WALTER CLAPP INS AGENCY INC3 Filed as: WALTER CLAPP INS AG, INC AND OTHERS | 5307 GREYSTONE COURT BAKERSFIELD, CA 93306 | AFLAC | $402 | $0 | $402 | 2.85% |
| GUERRERO SOLIS JR3 | 1633 VIA TROPICO SANTA MARIA, CA 93454 | AFLAC | $394 | $0 | $394 | 2.79% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: LYNN BROWN | 4605 BUENA VISTA ROAD SUITE 600 BAKERSFIELD, CA 93311 | AFLAC | $264 | $0 | $264 | 1.87% |
| MARKHAM INSURANCE SERVICES, INC.3 | PO BOX 924 TEHACHAPI, CA 93581 | AFLAC | $143 | $0 | $143 | 1.01% |
| SOUZA INS SERVICES INC3 Filed as: SOUZA INSURANCE SERVICES, INC. | 9407 ALMOND CREEK DRIVE BAKERSFIELD, CA 93311 | AFLAC | $136 | $0 | $136 | 0.96% |
| ROBERT LYNN COMPANY, INC.3 Filed as: THE ROBERT LYNN COMPANY, INC. | PO BOX 1966 BAKERSFIELD, CA 93303 | AFLAC | $99 | $0 | $99 | 0.70% |
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 | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 147 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 164 | $1.1M |
| Dental | STANDARD INSURANCE COMPANY | 124 | $126K |
| Vision(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 273 | $141K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 147 | $60K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 147 | $60K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 147 | $60K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 164 | $1.1M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 147 | $74K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 273 | — |
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.