| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC | 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | AETNA LIFE INSURANCE CO. | $49K | $0 | $49K | 3.31% |
| RELATION INSURANCE SERVICES OF CA3 | 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | AETNA LIFE INSURANCE CO. | $26K | $0 | $26K | 1.75% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INS AGENCY INC DBA ASCENSION | 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | UNION SECURITY INSURANCE COMPANY | $7K | $0 | $7K | 5.00% |
| RELATION INSURANCE SERVICES OF CA3 | 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | SYMETRA LIFE INSURANCE COMPANY | $5K | $4K | $9K | 7.04% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INS AGENCY INC DBA ASCENSION | 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | SYMETRA LIFE INSURANCE COMPANY | $8K | $0 | $8K | 5.90% |
| LISA HUTZOL3 | 9628 LIGHTHEART AVE LAS VEGAS, NV 89148 | AFLAC | $2K | $37 | $2K | 4.74% |
| MAKRO ENTERPRISES INC3 | 6410 S EASTERN AVE STE 100 LAS VEGAS, NV 89119 | AFLAC | $898 | $0 | $898 | 2.59% |
| DWAYNE R MARTINEZ3 Filed as: DWAYNE MARTINEZ | 3095 E PATRICK LN STE 1 LAS VEGAS, NV 89120 | AFLAC | $451 | $56 | $507 | 1.46% |
| SCOTT EDLIN | 5628 MESA MOUNTAIN DR LAS VEGAS, NV 89135 | AFLAC | $495 | $0 | $495 | 1.43% |
| ERIN C PILOT3 Filed as: ERIN PILOT | 1176 DROWSY WATER CT HENDERSON, NV 89052 | AFLAC | $222 | $147 | $369 | 1.06% |
| DEBORAH A MARINO Filed as: DEBORAH MARINO | 6440 SKY POINTE DR 140-221 LAS VEGAS, NV 89131 | AFLAC | $262 | $56 | $318 | 0.92% |
| LARRY W NICHOLSON3 Filed as: LARRY NICHOLSON | 116 E MAIN ST ROCK HILL, SC 29730 | AFLAC | $194 | $0 | $194 | 0.56% |
| SEAN MICHAEL PFEIFFER3 Filed as: SEAN PFEIFFER | 3405 WATERVIEW TRL ROCKWALL, TX 75087 | AFLAC | $165 | $0 | $165 | 0.48% |
| KATHLEEN A STRANDBOGE3 Filed as: KATHLEEN STRANDBOGE | 6121 ROCKETMAN CIR LAS VEGAS, NV 89149 | AFLAC | $98 | $0 | $98 | 0.28% |
| ORGILL/SINGER & ASSOCIATES INC3 Filed as: ORGILL SINGER & ASSOC INC | 8360 W SAHARA AVE STE 110 LAS VEGAS, NV 89117 | AFLAC | $90 | $0 | $90 | 0.26% |
| JENNIFER C BOREK3 Filed as: JENNIFER BOREK | 3095 E PATRICK LN STE 1 LAS VEGAS, NV 89120 | AFLAC | $75 | $0 | $75 | 0.22% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL JAIME | 1150 GUSTINE ST CHULA VISTA, CA 91913 | AFLAC | $74 | $0 | $74 | 0.21% |
| LYNN MARIE BARRY3 Filed as: LYNN BARNSON | 10153 S WASATCH BLVD SANDY, UT 84092 | AFLAC | $49 | $0 | $49 | 0.14% |
| EMPLOYERS BENEFITS DESIGN INC3 | 330 E WARM SPRINGS RD LAS VEGAS, NV 89119 | AFLAC | $49 | $0 | $49 | 0.14% |
| CYNTHIA L SAMUELS3 Filed as: CYNTHIA SAMUELS | 3619 SANWOOD ST LAS VEGAS, NV 89147 | AFLAC | $48 | $0 | $48 | 0.14% |
| TAMMY SWAIN3 | 10736 KNICKERBOCKER AVE LAS VEGAS, NV 89166 | AFLAC | $46 | $0 | $46 | 0.13% |
| ANDREW K PURDY3 Filed as: ANDREW PURDY | 1409 HAWKWOOD RD HENDERSON, NV 89014 | AFLAC | $24 | $0 | $24 | 0.07% |
| GUS BATES INSURANCE3 Filed as: NIKOLAS VOGIATZIS | 4987 SHADY LEAF WAY SACRAMENTO, CA 95838 | AFLAC | $14 | $0 | $14 | 0.04% |
| COLLEEN LAPRADE3 | 6005 HIDDEN VALLEY RD STE 150 CARLSBAD, CA 92011 | AFLAC | $13 | $0 | $13 | 0.04% |
| MARTY JOE TURNER3 Filed as: MARTY TURNER | 209 WATERFORD DR CATAULA, GA 31804 | AFLAC | $9 | $0 | $9 | 0.03% |
| MATTHEW H EDLIN3 Filed as: MATTHEW EDLIN | 9841 FIESTA ROSE AVE LAS VEGAS, NV 89148 | AFLAC | $8 | $0 | $8 | 0.02% |
| TRACI HUTCHINSON3 | 2155 PAGANINI AVE HENDERSON, NV 89052 | AFLAC | $7 | $0 | $7 | 0.02% |
| VICTORIA KAMMER3 | 5417 AEGEAN WAY LAS VEGAS, NV 89149 | AFLAC | $6 | $0 | $6 | 0.02% |
| LES HEINSEN INS SERVICES INC3 | 4416 VIA PALAGIO FAIR OAKS, CA 95628 | AFLAC | $4 | $0 | $4 | 0.01% |
| DIANN KRZCIOK3 | 2682 GRAND FORKS RD HENDERSON, NV 89052 | AFLAC | $4 | $0 | $4 | 0.01% |
| MARGUERITE E LEMMON-RINEHART3 Filed as: MARGUERITE LEMMON-RINEHART | 10165 WOODBROOK CIR LAKELAND, TN 38002 | AFLAC | $3 | $0 | $3 | 0.01% |
| LESTER RAY BLACKSHEAR3 Filed as: LESTER BLACKSHEAR | 9192 SE 168TH COOK PL THE VILLAGES, FL 32162 | AFLAC | $3 | $0 | $3 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH WILLIS JR | 1431 NE 55TH ST FORT LAUDERDALE, FL 33334 | AFLAC | $2 | $0 | $2 | 0.01% |
| DAYTON RINEHART3 | 5026 BUBBLING CREEK LN APT 104 MILLINGTON, TN 38053 | AFLAC | $2 | $0 | $2 | 0.01% |
| MICHAEL RHODD | 4160 GREEN VALLEY RD FAIRFIELD, CA 94534 | AFLAC | $1 | $0 | $1 | 0.00% |
| AMY LUDWICK | 7403 SESAME ST COLUMBUS, GA 31909 | AFLAC | $1 | $0 | $1 | 0.00% |
| RELATION INSURANCE SERVICES OF CA3 | 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | NATIONAL GUARIDAN LIFE INSURANCE COMPANY | $859 | $0 | $859 | 5.00% |
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 | 323 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 323 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 323 | $1.5M |
| Dental | UNION SECURITY INSURANCE COMPANY | 241 | $149K |
| Vision | NATIONAL GUARIDAN LIFE INSURANCE COMPANY | 431 | $17K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 263 | $130K |
| Short-term disability(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 263 | $165K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 263 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 431 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.