| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE DRIVE, SUITE 100 SAN DIEGO, CA 92122 | UNITEDHEALTHCARE INSURANCE COMPANY | $61K | $6K | $67K | 4.98% |
| MARSH & MCLENNAN AGENCY LLC3 | LOCKBOX 740659 LOS ANGELES, CA 90074 | KAISER FOUNDATION HEALTH PLAN INC. | $30K | $374 | $31K | 3.04% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 740659 LOS ANGELES, CA 90074 | UNITEDHEALTHCARE INSURANCE COMPANY | $12K | — | $12K | 6.18% |
| MARSH & MCLENNAN AGENCY LLC3 | PO BOX 740659 LOS ANGELES, CA 90074 | VISION SERVICE PLAN | $2K | — | $2K | 8.79% |
| BETH A. HESTER3 Filed as: BETH A HESTER | 1143 CHAMPAGNE LN MANTECA, CA 95337 | AFLAC | $240 | — | $240 | 3.32% |
| GEORGIANNA STOUT3 | 150 HARBOR DR UNIT 370 SAUSALITO, CA 94966 | AFLAC | $117 | — | $117 | 1.62% |
| GUSTAVO ARRIAGA II3 | 320 W CORK TREE DR ORANGE, CA 92865 | AFLAC | $109 | — | $109 | 1.51% |
| SERAPIO M. NAMBO3 Filed as: SERAPIO M NAMBO | 2175 57TH AVE SACRAMENTO, CA 95822 | AFLAC | $66 | — | $66 | 0.91% |
| ANA PATRICIA ARRIAGA3 | 980 ARLINGTON CIR WOODLAND, CA 95695 | AFLAC | $56 | — | $56 | 0.78% |
| DAVID B. KITCHEN3 Filed as: DAVID B KITCHEN | 5230 HARTER LN LA CANADA FLINTRIDGE, CA 91011 | AFLAC | $45 | — | $45 | 0.62% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INS INC | 106 S WYNSTONE PARK DR STE 101 N BARRINGTON, IL 60010 | AFLAC | $43 | — | $43 | 0.60% |
| JAMES S SARANTIS3 | 14132 SE FIRCREST CT PORTLAND, OR 97236 | AFLAC | $21 | — | $21 | 0.29% |
| BALTOR INSURANCE SERVICES3 | 533 AIRPORT BLVD STE 400 BURLINGAME, CA 94010 | AFLAC | $16 | — | $16 | 0.22% |
| KRISTINA J KUNZ3 | 118 GRANVILLE WAY SAN FRANCISCO, CA 94127 | AFLAC | $15 | — | $15 | 0.21% |
| LISA M HUTCHERSON3 | 5690 LILYVIEW WAY ELK GROVE, CA 95757 | AFLAC | $3 | — | $3 | 0.04% |
| ROBERT PILKENTON3 Filed as: ROBERT L PILKENTON | 6643 FM 2817 RD SEALY, TX 77474 | AFLAC | $3 | — | $3 | 0.04% |
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 | 204 | 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) | 204 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 294 | $2.4M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 294 | $1.3M |
| Vision | VISION SERVICE PLAN | 162 | $20K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 204 | $189K |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 204 | $189K |
| Prescription drug(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 294 | $2.4M |
| Other(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 213 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 294 | — |
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."
No prospect flags tripped on this filing.