| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $54K | $8K | $62K | 0.83% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $23K | $4K | $27K | 17.28% |
| PATRICIA GAIL LEES3 | 1124 CHURCHS CT BURBANK, CA 91501 | AFLAC | $3K | $0 | $3K | 2.61% |
| JUAN C FERLINI3 | 891 MAYBERRY ML NEW BRANSFELS, TX 78130 | AFLAC | $2K | $0 | $2K | 2.28% |
| FRANCOISE YVONNE KORENBERG3 | 1000 E OCEAN BLVD #404 LONG BEACH, CA 90802 | AFLAC | $2K | $121 | $2K | 1.51% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | AFLAC | $612 | $0 | $612 | 0.56% |
| RENEE SUZANNE CORSO3 | 16000 VENTRUA BLVD #1120 ENCINO, CA 91436 | AFLAC | $512 | $0 | $512 | 0.47% |
| ROBERT GUY SCANLAN3 | 12400 MONTECITO RD #315 SEAL BEACH, CA 90740 | AFLAC | $483 | $0 | $483 | 0.44% |
| RHOEL T VALDEZ3 | 20016 BLYTHE ST WINNETKA, CA 91306 | AFLAC | $440 | $24 | $464 | 0.43% |
| MICHELE A UNDERELL3 | 3682 TAFT CT WHEAT RIDGE, CO 80033 | AFLAC | $359 | $0 | $359 | 0.33% |
| HAROUT DOMAJIAN3 | 2140 N HOLLYWOOD WAY 11195 BURBANK, CA 91505 | AFLAC | $344 | $0 | $344 | 0.32% |
| AVANT-GARDE INSURANCE SOLUTIONS3 | 728 N LUCIA AVE #3 REDONDO BEACH, CA 90277 | AFLAC | $341 | $0 | $341 | 0.31% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $301 | $0 | $301 | 0.28% |
| KRISTINA J KUNZ3 | 108 MADRONE AVE SAN FRANCISCO, CA 94127 | AFLAC | $278 | $0 | $278 | 0.26% |
| TIFFANY KUKULICA3 | 349 MANCHESTER DR LOS BANOS, CA 93635 | AFLAC | $248 | $0 | $248 | 0.23% |
| RICHARD J KUNZ3 | 601 MONTGOMERY ST STE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $231 | $0 | $231 | 0.21% |
| DAVID J REESOR3 | 1615 WILSON AVE UPLAND, CA 91784 | AFLAC | $229 | $0 | $229 | 0.21% |
| STEVEN GOLDSTEIN3 Filed as: STEVEN CRAIG GOLDSTEIN | 6255 VENTURA CANYON AVE VAN NUYS, CA 91401 | AFLAC | $207 | $0 | $207 | 0.19% |
| RHOLAN CHAN WONG3 | 2825 TILDEN AVE LOS ANGELES, CA 90064 | AFLAC | $197 | $0 | $197 | 0.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER SERVICES INC | 21820 BURBANK BLVD STE 300 WOODLAND HILLS, CA 91367 | AFLAC | $191 | $0 | $191 | 0.18% |
| SHEM J BOSTICK3 | 1620 S DITMAR ST OCEANSIDE, CA 92054 | AFLAC | $176 | $0 | $176 | 0.16% |
| KAREN M HUGHES3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $175 | $0 | $175 | 0.16% |
| JOSEPH A BUZZELLO3 | 14747 N NORTHSIGHT BLVD SCOTTSDALE, AL 85260 | AFLAC | $175 | $0 | $175 | 0.16% |
| RUSSELL L WARYE3 Filed as: RUSSELL NAKAMURA | 4500 PARK GRANADA STE 202 CALABASAS, CA 91302 | AFLAC | $165 | $0 | $165 | 0.15% |
| JORGE LIMON3 Filed as: JORGE O LIMON | 8213 SUMMERFIELD AVE WHITTIER, CA 90606 | AFLAC | $146 | $0 | $146 | 0.13% |
| MICHELE ANN SACHAROW3 | 11676 CHENAULT ST #22 LOS ANGELES, CA 90049 | AFLAC | $81 | $0 | $81 | 0.07% |
| LISA R PETERS3 | 17813 W COUNTRY CLUB DR ARLINGTON, WA 98223 | AFLAC | $51 | $0 | $51 | 0.05% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $14K | $2K | $16K | 17.59% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $10K | $488 | $10K | 19.24% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | $2K | $8K | 19.27% |
| JUAN C FERLINI3 | 891 MAYBERRY ML NEW BRAUNFELS, TX 78130 | AFLAC | $1K | $0 | $1K | 3.61% |
| ROBER GUY CANLAN3 | 12400 MONTECITO RD #315 SEAL BEACH, CA 90740 | AFLAC | $486 | $0 | $486 | 1.63% |
| RHOAN CHAN WONG3 | 2825 TILDEN AVE LOS ANGELES, CA 90064 | AFLAC | $396 | $0 | $396 | 1.33% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $392 | $0 | $392 | 1.31% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 21820 BURBANK BLVD STE300 WOODLAND HILLS, CA 91367 | AFLAC | $264 | $0 | $264 | 0.89% |
| JOSEPH A BUZZELLO3 | 14747 N NORTHSIGHT BLVD STE 111-454 SCOTTSDALE, AZ 85260 | AFLAC | $208 | $0 | $208 | 0.70% |
| KAREN M HUGHES3 | 438 PISGAH PIKE PULASKI, TN 34878 | AFLAC | $158 | $0 | $158 | 0.53% |
| FRANCOISE YVONNE KORENBERG3 | 1000 E OCEAN BLVD #404 LONG BEACH, CA 90802 | AFLAC | $144 | $0 | $144 | 0.48% |
| PATRICIA GAIL LEES3 | 1124 CHURCHS CT BURBANK, CA 91501 | AFLAC | $100 | $0 | $100 | 0.34% |
| MICHELE ANN SCHAROW3 | 11676 CHENAULT ST #22 LOS ANGELES, CA 90049 | AFLAC | $78 | $0 | $78 | 0.26% |
| MICHELE A UNDERELL3 | 3682 TAFT CT WHEAT RIDGE, CO 80033 | AFLAC | $60 | $0 | $60 | 0.20% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH ST FORT LAUDERDALE, FL 33334 | AFLAC | $58 | $0 | $58 | 0.19% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $547 | $5K | 20.15% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | $519 | $4K | 20.88% |
| WILFRED COGER3 Filed as: WILFRED E COGER | 230 PARK AVE #1000 NEW YORK, NY 10169 | AFLAC | $343 | $0 | $343 | 6.16% |
| KEITH LEPACK3 | 1991 BROADWAY #12B NEW YORK, NY 10023 | AFLAC | $56 | $0 | $56 | 1.01% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | PO BOX 908 FORT WORTH, TX 76102 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $455 | $129 | $584 | 19.24% |
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 | 605 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 611 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 931 | $7.5M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 931 | $7.5M |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 931 | $7.5M |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 604 | $196K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 603 | $91K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 931 | $7.5M |
| Other(9 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 604 | $444K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 931 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.