| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BLVD STE 650 WALNUT CREEK, CA 94597 | ANTHEM BC/BS | $48K | $0 | $48K | 3.82% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY | 1277 TREAT BLVD STE 650 WALNUT CREEK, CA 94597 | DELTA DENTAL | $8K | $0 | $8K | 5.00% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | SYMETRA LIFE INSURANCE COMPANY | $9K | $3K | $13K | 13.52% |
| LISA HUTZOL3 Filed as: LISA EDLIN | 9628 LIGHTHEART AVE LAS VEGAS, NV 89148 | AFLAC | $1K | $94 | $1K | 3.95% |
| KATHLEEN A STRANDBOGE3 | 6121 ROCKETMAN CIR LAS VEGAS, NV 89149 | AFLAC | $1K | $33 | $1K | 3.09% |
| SCOTT M EDLIN3 | 5628 MESA MOUNTAIN DR LAS VEGAS, NV 89135 | AFLAC | $993 | $22 | $1K | 2.94% |
| LISA HUTZOL3 Filed as: LISA A HUTZOL | 9628 LIGHTHEART AVE LAS VEGAS, NV 89148 | AFLAC | $592 | $0 | $592 | 1.71% |
| JENNIFER C BOREK3 | 3095 E PATRICK LN STE 1 LAS VEGAS, NV 89120 | AFLAC | $437 | $0 | $437 | 1.26% |
| DWAYNE R MARTINEZ3 | 3095 E PATRICK LN STE 1 LAS VEGAS, NV 89120 | AFLAC | $333 | $30 | $363 | 1.05% |
| SEAN MICHAEL PFEIFFER3 | 3405 WATERVIEW TRL ROCKWALL, TX 75087 | AFLAC | $211 | $30 | $241 | 0.70% |
| LARRY W NICHOLSON3 | 636 N TREZEVANT ST MEMPHIS, TN 38112 | AFLAC | $204 | $0 | $204 | 0.59% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL A JAIME | 5603 FAIRMEADE WAY LAS VEGAS, NV 89135 | AFLAC | $95 | $30 | $125 | 0.36% |
| ORGILL/SINGER & ASSOCIATES INC3 Filed as: ORGILL SINGER & ASSOC INC | 8360 W SAHARA AVE STE110 LAS VEGAS, NV 89117 | AFLAC | $124 | $0 | $124 | 0.36% |
| EMPLOYERS BENEFITS DESIGN INC3 | 330 E WARM SPRINGS RD LAS VEGAS, NV 89119 | AFLAC | $79 | $0 | $79 | 0.23% |
| CYNTHIA L SAMUELS3 Filed as: CYNTHIA SAMUELS | 2105 LAVERS CIR APT 211 DELRAY BEACH, FL 33444 | AFLAC | $77 | $0 | $77 | 0.22% |
| LYNN MARIE BARRY3 Filed as: LYNN G BARNSON | 10153 S WASATCH BLVD SANDY, UT 84092 | AFLAC | $63 | $0 | $63 | 0.18% |
| LARRY W NICHOLSON3 Filed as: LARRY W. NICHOLSON | 816 ACOMA ST UNIT 215 DENVER, CO 80204 | AFLAC | $38 | $0 | $38 | 0.11% |
| THOMAS P ANDERSON3 | 1721 HOOSAC DR WAXHAW, NC 28173 | AFLAC | $35 | $0 | $35 | 0.10% |
| TAMMY A MORGART3 Filed as: TAMMY A SWAIN | 10736 KNICKERBOCKER AVE LAS VEGAS, NV 89166 | AFLAC | $32 | $0 | $32 | 0.09% |
| GUS BATES INSURANCE3 Filed as: NIKOLAS GUS VOGIATZIS | 3870 PINE ST ROCKLIN, CA 95677 | AFLAC | $17 | $0 | $17 | 0.05% |
| DEBORAH A MARINO3 Filed as: DEBORAH A. MARINO | 6440 SKY POINTE DR 140-221 LAS VEGAS, NV 89131 | AFLAC | $16 | $0 | $16 | 0.05% |
| MARTY JOE TURNER3 Filed as: MARTY J TURNER | 209 WATERFORD DR CATAULA, GA 31804 | AFLAC | $9 | $0 | $9 | 0.03% |
| RICHARD A KIRK3 Filed as: RICHARD A. KIRK | 300 LA CANTERA COURT LAS VEGAS, NV 89144 | AFLAC | $9 | $0 | $9 | 0.03% |
| MATTHEW H EDLIN3 | 9841 FIESTA ROSE AVE LAS VEGAS, NV 89148 | AFLAC | $8 | $0 | $8 | 0.02% |
| GUS BATES INSURANCE3 Filed as: NIKOLAS GUS VOGIATZIS | 4987 SHADY LEAF WAY SACRAMENTO, CA 95838 | AFLAC | $5 | $0 | $5 | 0.01% |
| MARGUERITE E LEMMON-RINEHART3 Filed as: MARGUERITE E. LEMMON-RINEHART | 10165 WOODBROOK CIR LAKELAND, TN 38002 | AFLAC | $5 | $0 | $5 | 0.01% |
| LES HEINSEN INS SERVICES INC3 | 193 BLUE RAVINE RD STE 140 FOLSOM, CA 95630 | AFLAC | $4 | $0 | $4 | 0.01% |
| MARTY JOE TURNER3 Filed as: MARTY TURNER | 1100 CORPORATE WAY STE 100 SACRAMENTO, CA 95831 | AFLAC | $2 | $0 | $2 | 0.01% |
| MARY G. AHRENS3 | 5055 W HACIENDA AVE APT 1105 LAS VEGAS, NV 89118 | AFLAC | $1 | $0 | $1 | 0.00% |
| PORTAL INSURANCE AGENCY, INC.3 | 1277 TREAT BLVD STE 650 WALNUT CREEK, CA 94597 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $690 | $0 | $690 | 4.66% |
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 | 275 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 275 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 364 | $161K |
| Vision(2 contracts, 2 carriers) | ANTHEM BC/BS | 338 | $1.3M |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 244 | $93K |
| Short-term disability | SYMETRA LIFE INSURANCE COMPANY | 244 | $93K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 244 | $93K |
| Other | AFLAC | 52 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 364 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.