| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURANCE THE EASY WAY INC3 | 27525 PUERTA REAL SUITE 300-338 MISSION VIEJO, CA 92691 | BLUE CORSS OF CALIFORNIA | $45K | — | $45K | 2.75% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES L | 2677 NORTH MAIN STREET SANTA ANA, CA 92705 | BLUE CORSS OF CALIFORNIA | — | $44K | $44K | 2.69% |
| INSURANCE THE EASY WAY, INC3 | 27525 PUERTA REAL STE 300-338 MISSION VIEJO, CA 92691 | KAISER FOUNDATION HEALTH PLAN, INC | $8K | — | $8K | 4.74% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES, | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | KAISER FOUNDATION HEALTH PLAN, INC | $3K | — | $3K | 1.62% |
| INSURANCE THE WASY WAY INC3 | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 15.00% |
| DANIEL J TABELLO3 | 16330 HEALTHFIELD DRIVE WHITTIER, CA 90603 | AFLAC | $3K | $269 | $3K | 6.71% |
| INSURANCE THE EASY WAY INC3 | 27525 PUERTA REAL 100 338 MISSION VIEJO, CA 92691 | AFLAC | $2K | $30 | $2K | 3.84% |
| TABELLO INS SERVICES INC3 | 1461 SIERRA VISTA DRIVE LA HABRA, CA 90631 | AFLAC | $1K | $170 | $1K | 3.48% |
| JONATHAN ALI HAJIMOMEN3 | 5752 WHISTLER CIRCLE HUNTINGTON BEACH, CA 92649 | AFLAC | $1K | $93 | $1K | 2.72% |
| AURELIO VELA3 | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $530 | — | $530 | 1.28% |
| DANIEL TYLER ADAMSON3 | 405 SOUTH HIBISCUS WAY ANAHEIM, CA 92808 | AFLAC | $192 | — | $192 | 0.46% |
| AURELIO VELA3 | 7602 SORENSEN AVENUE WHITTIER, CA 90606 | AFLAC | $57 | — | $57 | 0.14% |
| LAUREL E RAMBO3 | 340 EAST 1ST STREET NUMBER 3746 TUSTIN, CA 92781 | AFLAC | $21 | — | $21 | 0.05% |
| KRISTEN BRUNZELL3 Filed as: KRISTEN M BRUNZELL | 340 EAST 1ST STREET UNIT 3746 TUSTIN, CA 92781 | AFLAC | $7 | — | $7 | 0.02% |
| COLLEEN M KIRKLAND3 | 1270 HOPEWELL CREST ALPHARETTA, GA 30004 | AFLAC | $5 | — | $5 | 0.01% |
| DARAVANH THAMMA3 | 1908 WEST CATALPA AVENUE ANAHEIM, CA 92801 | AFLAC | $4 | — | $4 | 0.01% |
| ABRAHAM BASH3 | 148 SOUTH FRONT STRTEET APARTMENT 321 FARMINGDALE, NY 11735 | AFLAC | $1K | — | $1K | 25.88% |
| DANIEL TYLER ADAMSON3 | 405 SOUTH HIBISCUS WAY ANAHEIM, CA 92808 | AFLAC | $624 | — | $624 | 13.66% |
| JAMES ROBERT CONFORT3 | 3 SUNSET LANE GARDEN CITY, NY 11530 | AFLAC | $273 | — | $273 | 5.98% |
| COLIN MCVETTY3 | 449 MARCELLUS ROAD MINEOLA, NY 11501 | AFLAC | $179 | — | $179 | 3.92% |
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 | 266 | 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) | 266 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CORSS OF CALIFORNIA | 185 | $1.8M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 213 | $132K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 213 | $132K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 248 | $60K |
| Short-term disability(2 contracts) | AFLAC | 35 | $46K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 248 | $60K |
| Other(3 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 248 | $106K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 248 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.