| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | PAN-AMERICAN LIFE INSURANCE COMPANY | $34K | — | $34K | 12.00% |
| XL BENEFIT INSURANCE SERVICES | 10471 GRANT LINE ROAD SUITE 100 ELK GROVE, CA 95624 | PAN-AMERICAN LIFE INSURANCE COMPANY | $14K | — | $14K | 5.00% |
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| ANCILLARY INSURANCE SOLUTIONS | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| ANCILLARY INSURANCE SOLUTIONS | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $710 | $710 | 5.00% |
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| ANCILLARY INSURANCE SOLUTIONS | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $526 | $526 | 5.00% |
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | EYEMED | $637 | — | $637 | 6.87% |
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | AMERITAS LIFE INSURANCE CORP | $1K | $41 | $1K | 18.70% |
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | GERBER (MES VISION) | $551 | — | $551 | 7.51% |
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $487 | — | $487 | 9.99% |
| ANCILLARY INSURANCE SOLUTIONS | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $244 | $244 | 5.01% |
| BARTHULI & ASSOCIATES INSURANCE Filed as: BARTHULI & ASSOCIATES INSURANCE SVC | 5250 N PALM AVE FRESNO, CA 93704 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $340 | — | $340 | 10.00% |
| ANCILLARY INSURANCE SOLUTIONS | 1440 E VALLEY FORGE DR FRESNO, CA 93720 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $170 | $170 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ADVANTEK BENEFIT ADMINISTRATORS EIN 77-0382381 ADMINISTRATOR | Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | 7370 N PALM AVE FRESNO, CA 93711 | $93K |
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 | 129 | 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) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP | 109 | $8K |
| Vision(2 contracts, 2 carriers) | EYEMED | 113 | $17K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 119 | $52K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 19 | $8K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 27 | $14K |
| Stop-loss / reinsurancereinsurance | PAN-AMERICAN LIFE INSURANCE COMPANY | 109 | $286K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 119 | — |
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.