| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH BENEFIT SOLUTIONS, LLC | — | AIG BENEFIT SOLUTIONS | — | $35K | $35K | 7.00% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC | DBA ASCENSION BENEFITS AND INS 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | SYMETRA LIFE INSURANCE COMPANY | — | $7K | $7K | 1.70% |
| MICHAEL F IVES3 | 2685 S RAINBOW BLVD STE 100 LAS VEGAS, NV 89146 | AFLAC | $10K | $1K | $12K | 5.02% |
| ALEXANDRA JACOBI3 Filed as: ALEXANDRA DIBIASI | 4244 E MAYA WAY CAVE CREEK, AZ 85331 | AFLAC | $5K | $317 | $6K | 2.40% |
| DEVAN L BERRY3 | 5050 MURPHY CANYON RD SUITE 150 SAN DIEGO, CA 92123 | AFLAC | $2K | $212 | $2K | 0.86% |
| SIMON B REYES3 | 4625 S POLARIS AVE SUITE 212 LAS VEGAS, NV 89103 | AFLAC | $2K | $267 | $2K | 0.80% |
| LAURIE UNDERNEHR3 | 5042 SHADOW RIVER ST LAS VEGAS, NV 89148 | AFLAC | $2K | $114 | $2K | 0.72% |
| PCS INSURANCE SERVICES INC3 | 2553 27TH STREET APT A SACRAMENTO, CA 95818 | AFLAC | $1K | — | $1K | 0.58% |
| ASCENSION INSURANCE AGENCY3 Filed as: ASCENSION INSURANCE SERVICES INC | 87 E GREEN ST SUITE 206 PASADENA, CA 91105 | AFLAC | $1K | — | $1K | 0.57% |
| MARIA MULLIGAN3 | 19420 N 59TH AVE STE C251 GLENDALE, AZ 85308 | AFLAC | $1K | $108 | $1K | 0.57% |
| MULLIGAN BENEFITS LLC3 Filed as: MULLIGAN BENEFITS, LLC | 19420 N 59TH AVE STE C251 GLENDALE, AZ 85308 | AFLAC | $1K | $108 | $1K | 0.56% |
| VALERIE S. LEWIS3 Filed as: VALERIE S LEWIS | 6127 S RAINBOW BLVD STE 110 LAS VEGAS, NV 89118 | AFLAC | $1K | $134 | $1K | 0.50% |
| CHRISTOPHER D. JUDY3 Filed as: CHRISTOPHER D JUDY | 5050 MURPHY CANYON RD SUITE 150 SAN DIEGO, CA 92111 | AFLAC | $1K | $73 | $1K | 0.47% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL JAIME | 5603 FAIRMEADE WAY LAS VEGAS, NV 89135 | AFLAC | $744 | $290 | $1K | 0.45% |
| CAELUM INC3 | 13122 MESA CREST PL SAN DIEGO, CA 92129 | AFLAC | $726 | $66 | $792 | 0.34% |
| ORGILL/SINGER & ASSOCIATES INC3 Filed as: ORGILL SINGER AND ASSOC INC | 8360 WEST SAHARA AVE STE 110 LAS VEGAS, NV 89117 | AFLAC | $755 | — | $755 | 0.33% |
| MARCELLA DEAN3 | 5823 WISPY WINDS ST LAS VEGAS, NV 89148 | AFLAC | $615 | $3 | $618 | 0.27% |
| TERESA BLAKE3 Filed as: TERESA A BLAKE | 3408 CANTURA BLUFF AVE NORTH LAS VEGAS, NV 89031 | AFLAC | $545 | — | $545 | 0.24% |
| MELANIE BRUBAKER3 | 4211 LEFTOUT LN CHICO, CA 95973 | AFLAC | $322 | $107 | $429 | 0.19% |
| SETH G KNOWLTON3 | P.O. BOX 68766 TUCSON, AZ 85737 | AFLAC | $407 | $17 | $424 | 0.18% |
| STEVE HEROUX ENTERPRISES3 Filed as: STEVE HEROUX ENTERPRISES INC | 11484 EASTRIDGE PL SAN DIEGO, CA 92131 | AFLAC | $370 | $51 | $421 | 0.18% |
| ANDREW R GRETHEL3 | 600 S HIDDEN VALLEY RD #150 CARLSBAD, CA 92011 | AFLAC | $353 | $67 | $420 | 0.18% |
| EDWIN R SWAIN3 | 5601 CAVALIER CIRCLE LAS VEGAS, NV 89130 | AFLAC | $389 | — | $389 | 0.17% |
| KIMBERLY J RODRIGUEZ3 | 37057 S GAMBEL QUAIL DR. MARANA, AZ 85658 | AFLAC | $280 | $86 | $366 | 0.16% |
| SCOTT WEBB3 | 2355 W PINNACLE PEAK RD STE 380 PHOENIX, AZ 85027 | AFLAC | $239 | $125 | $364 | 0.16% |
| JONATHAN S OHKAWA3 | 9709 ENNISKEEN AVE LAS VEGAS, NV 89129 | AFLAC | $294 | $58 | $352 | 0.15% |
| WILLIAM MARZOLF3 Filed as: WILLIAM D MARZOLF | 3647 TOPAWA DRIVE LAS VEGAS, NV 89103 | AFLAC | $278 | $52 | $330 | 0.14% |
| CARISSA L PENSACK3 | 4858 MERCURY ST STE 106 SAN DIEGO, CA 92111 | AFLAC | $254 | $59 | $313 | 0.14% |
| MICHAEL WILLIAMS3 Filed as: MICHAEL E. WILLIAMS | 9437 DOUBLE DIAMOND PKWY STE 17 RENO, NV 89521 | AFLAC | $258 | $36 | $294 | 0.13% |
| COLISTA R SHETLER3 Filed as: COLISTA SHETLER | 9003 BELCONTE LN HENDERSON, NV 89074 | AFLAC | $250 | — | $250 | 0.11% |
| JESSICA MARKLE3 | 2553 27TH STREET UNIT 7 SACRAMENTO, CA 95818 | AFLAC | $193 | — | $193 | 0.08% |
| BRUNO MARK3 Filed as: BRUNO F MARK | 2881 S VALLEY VIEW BLVD STE 8 LAS VEGAS, NV 89102 | AFLAC | $191 | — | $191 | 0.08% |
| LYNN MARIE BARRY3 Filed as: LYNN G BARNSON | 10153 S WASATCH BLVD SANDY, UT 84092 | AFLAC | $173 | — | $173 | 0.08% |
| MARY R SMITH3 | 9020 N FLYING BUTTE FOUNTAIN HILLS, AZ 85268 | AFLAC | $170 | — | $170 | 0.07% |
| CK GOHL INSURANCE SOLUTIONS3 | 5050 MURPHY CANYON RD STE 150 SAN DIEGO, CA 92123 | AFLAC | $161 | $4 | $165 | 0.07% |
| RYAN OLSON3 Filed as: RYAN OLSON INS SVCS INC | 1140 MANGROVE AVE STE D CHICO, CA 95926 | AFLAC | $114 | $21 | $135 | 0.06% |
| JOANNE F MCBRIDE-LUDWIG3 | 10318 SAN CARLOS CT SPRING VALLEY, CA 91978 | AFLAC | $116 | — | $116 | 0.05% |
| JOHN J MACIAS JR3 | 950 UNIVERSITY PARK LOOP RENO, NV 89612 | AFLAC | $104 | $8 | $112 | 0.05% |
| BRYAN G CORBIN LLC3 | 8612 W MARY ANN DR PEORIA, AZ 85382 | AFLAC | $107 | — | $107 | 0.05% |
| LES HEINSEN INS SERVICES INC3 | 193 BLUE RAVINE RD STE 140 FOLSOM, CA 95630 | AFLAC | $70 | $29 | $99 | 0.04% |
| SHARMAIN L BOUNDS3 Filed as: SHARMAIN L MYKLEBY | 2202 TEDESCA DR HENDERSON, NV 89052 | AFLAC | $98 | — | $98 | 0.04% |
| MARGUERITE E LEMMON-RINEHART3 | 10165 WOODBROOK CIR LAKELAND, TN 38002 | AFLAC | $90 | — | $90 | 0.04% |
| WENDY M SHELLY3 Filed as: WENDY SHELLY | 751 HEBRON PKWY STE 220 LEWISVILLE, TX 75057 | AFLAC | $88 | — | $88 | 0.04% |
| PETER JAMES SARANTIS3 Filed as: PETER SARANTIS | 2251 DOUGLAS BLVD SUITE 110 ROSEVILLE, CA 95661 | AFLAC | $60 | $21 | $81 | 0.04% |
| MARK HABER & ASSOC INC3 | 5050 MURPHY CANYON RD STE 150 SAN DIEGO, CA 92123 | AFLAC | $77 | — | $77 | 0.03% |
| ZAKERY HARLOW3 | 3755 N BUSINESS CENTER DR TUCSON, AZ 85705 | AFLAC | $54 | $17 | $71 | 0.03% |
| DIANA LEARY3 | 856 WINTERSWEET ROAD HENDERSON, NV 89015 | AFLAC | $68 | — | $68 | 0.03% |
| JENNIFER E MACIAS3 | 850 N. UNIVERSITY PARK LOOP RENO, NV 89512 | AFLAC | $59 | $8 | $67 | 0.03% |
| MARK HILL3 | 7673 N SUMMIT PASS PRESCOTT VALLEY, AZ 86315 | AFLAC | $60 | — | $60 | 0.03% |
| ORIN LEE WILLIAMS3 | 5467 E WOODSTOCK RD CAVE CREEK, AZ 85331 | AFLAC | $54 | — | $54 | 0.02% |
| DAVID B HARRINGTON3 | PO BOX 33335 LAS VEGAS, NV 89133 | AFLAC | $52 | — | $52 | 0.02% |
| AMERICAN FINANCIAL SERVICES UNLTD.3 Filed as: AMERICAN FINANCIAL SVCS UNLTD | 5125 OQUENDO ROAD SUITE 10 LAS VEGAS, NV 89118 | AFLAC | $51 | — | $51 | 0.02% |
| QUINCY C MCCOMAS3 | 6059 SOUTH QUEBEC ST CENTENNIAL, CO 80111 | AFLAC | $39 | — | $39 | 0.02% |
| JANET L FORGY3 | 6715 W BEVERLY RD LAVEEN, AZ 85339 | AFLAC | $34 | — | $34 | 0.01% |
| DONALD GREEN3 Filed as: DONALD A GREEN | 1611 W. PLACITA GARBO GREEN VALLEY, AZ 85622 | AFLAC | $34 | — | $34 | 0.01% |
| TIMOTHY HULL3 Filed as: TIMOTHY L HULL | 8464 SE 177TH PENMAN PL THE VILLAGES, FL 32162 | AFLAC | $33 | — | $33 | 0.01% |
| LAUREN SMITH INSURANCE SERVICES INC3 | 4428 ARIZONA STREET 7 SAN DIEGO, CA 92116 | AFLAC | $32 | — | $32 | 0.01% |
| CAROLE ANNE COURLANG3 Filed as: CAROLE COURLANG | 9767 CAMINITO DEL MARFIL SAN DIEGO, CA 92124 | AFLAC | $31 | — | $31 | 0.01% |
| NITA SHARON HULL3 Filed as: NITA HULL | 3830 BLUE DASHER DR KISSIMMEE, FL 34744 | AFLAC | $30 | — | $30 | 0.01% |
| DAVID STALCUP3 | 115 SAVANNAH RIVER DR SUMMERVILLE, SC 29485 | AFLAC | $28 | — | $28 | 0.01% |
| PATRICIA M JOHNSON3 | 6212 W CHARLESTON BLVD STE 200 LAS VEGAS, NV 89146 | AFLAC | $28 | — | $28 | 0.01% |
| JUSTIN C LAMB3 Filed as: JUSTIN LAMB | 1302 REESE DR PROVO, UT 84601 | AFLAC | $21 | — | $21 | 0.01% |
| THOMAS P ANDERSON3 | 1721 HOOSAC DR WAXHAW, NC 28173 | AFLAC | $19 | — | $19 | 0.01% |
| RUTH C KENTIGIAN INC3 | 22809 N 48TH PL PHOENIX, AZ 85054 | AFLAC | $16 | — | $16 | 0.01% |
| PREFERRED MARKETING CORP3 | 7402 KINGS RIVER CT HUMBLE, TX 77346 | AFLAC | $16 | — | $16 | 0.01% |
| KENT A. BROOKS INS SVCS, INC.3 Filed as: KENT A BROOKS INS SERVICES INC | 11405 WEST BERNARDO COURT SAN DIEGO, CA 92127 | AFLAC | $15 | — | $15 | 0.01% |
| EOWALTER3 LLC3 | 505 CHERRY ST SE 310 GRAND RAPIDS, MI 49503 | AFLAC | $15 | — | $15 | 0.01% |
| WESTERN RISK INSURANCE AGENCY3 | 3140 S. RAINBOW STE 400 LAS VEGAS, NV 89146 | AFLAC | $15 | — | $15 | 0.01% |
| SCOTT M EDLIN3 | 5628 MESA MOUNTAIN DRIVE LAS VEGAS, NV 89135 | AFLAC | $14 | — | $14 | 0.01% |
| CHAD T NEVINS3 | STE P129 11811 N TATUM BLVD PHOENIX, AZ 85028 | AFLAC | $12 | — | $12 | 0.01% |
| JUANITA BURKS & ASSOCIATES3 | 6100 CENTER DR STE 670 LOS ANGELES, CA 90045 | AFLAC | $11 | — | $11 | 0.00% |
| KAREN ANN HABERKORN3 Filed as: KAREN HABERKORN | PO BOX 5328 LANCASTER, CA 93539 | AFLAC | $11 | — | $11 | 0.00% |
| ANDREW F. JR. RUSSO3 Filed as: ANDREW F JR RUSSO | PO BOX 174 RICHLAND, OR 97870 | AFLAC | $11 | — | $11 | 0.00% |
| LORI ROBIN NISHIMORI3 Filed as: LORI NISHIMORI | 9204 HOXIE COURT BAKERSFIELD, CA 93311 | AFLAC | $11 | — | $11 | 0.00% |
| CLAUDIA MONA VANDERVELD3 Filed as: CLAUDIA FELDMAN | 9037 E CASITAS DEL RIO DR SCOTTSDALE, AZ 85255 | AFLAC | $11 | — | $11 | 0.00% |
| AMY BECHTEL3 | 6212 WEST CHARLESTON BLVD STE 200 LAS VEGAS, NV 89146 | AFLAC | $10 | — | $10 | 0.00% |
| BETTY A. BOTELHO3 Filed as: BETTY BOTELHO | 55008 COUNTY ROAD 88 MODEL, CO 81059 | AFLAC | $8 | — | $8 | 0.00% |
| GREGORY GENE WICKERT3 Filed as: GREGORY WICKERT | PO BOX 1665 RIVERTON, WY 82501 | AFLAC | $7 | — | $7 | 0.00% |
| MINARD-AMES INSURANCE SERVICES3 Filed as: MINARD AMES INS SERVICES LLC | 4646 E VAN BUREN ST STE 200 PHOENIX, AZ 85008 | AFLAC | $6 | — | $6 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: DICKERSON EMPLOYEE BENEFITS INC | 1918 RIVERSIDE DR LOS ANGELES, CA 90039 | AFLAC | $5 | — | $5 | 0.00% |
| SHAWN HOLTORF3 | 5522 W NORTHWOOD DR GLENDALE, AZ 85310 | AFLAC | $5 | — | $5 | 0.00% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH AND BENEFITS LLC | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | AFLAC | $4 | — | $4 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: INTERWEST INS SERVICES INC | PO BOX 8110 CHICO, CA 95927 | AFLAC | $4 | — | $4 | 0.00% |
| GEOFFREY MALAIS3 | 16800 DEVONSHIRE ST STE 220 GRANADA HILLS, CA 91344 | AFLAC | $4 | — | $4 | 0.00% |
| WILLIAM WALTER WARNER3 Filed as: WILLIAM WARNER | 1420 SERRANO PL APT A REDDING, CA 96003 | AFLAC | $3 | — | $3 | 0.00% |
| CYNTHIA L SAMUELS3 | 2105 LAVERS CIR APT 211 DELRAY BEACH, FL 33444 | AFLAC | $3 | — | $3 | 0.00% |
| WALTER CLAPP INS AGENCY INC3 | 3761 BERNARD ST BAKERSFIELD, CA 93306 | AFLAC | $3 | — | $3 | 0.00% |
| LARRY W NICHOLSON3 Filed as: LARRY NICHOLSON | 636 N TREZEVANT ST MEMPHIS, TN 38112 | AFLAC | $2 | — | $2 | 0.00% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH BUZZELLO | 9018 BALBOA BLVD STE 254 NORTHRIDGE, CA 91325 | AFLAC | $2 | — | $2 | 0.00% |
| PATRICK FULLER3 Filed as: PATRICK L FULLER | 6381 ISLAND LAKE DRIVE EAST LANSING, MI 48823 | AFLAC | $2 | — | $2 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: LYNN S BROWN | 5558 CALIFORNIA AVE SUITE 320 C BAKERSFIELD, CA 93309 | AFLAC | $2 | — | $2 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL S SARAZIN | 11017 SUMMER QUAIL AVE LAS VEGAS, NV 89144 | AFLAC | $1 | — | $1 | 0.00% |
| ROBERT LABONTE3 | 1059 W SAN REMO GILBERT, AZ 85233 | AFLAC | $1 | — | $1 | 0.00% |
| TOM KOCH3 | 884 E ERIE ST GILBERT, AZ 85295 | AFLAC | $1 | — | $1 | 0.00% |
| EDWARD O GLICK3 | 99 BONANZA DR CARSON CITY, NV 89706 | AFLAC | $1 | — | $1 | 0.00% |
| CHARLES EDWARD PERRY3 | 12858 TORREY PINES DR AUBURN, CA 95602 | AFLAC | $1 | — | $1 | 0.00% |
| JON P BATES JR3 | 440 REGENTS PARK DR VALLEJO, CA 94591 | AFLAC | $1 | — | $1 | 0.00% |
| ANNA JANICE RUIZ3 Filed as: ANNA RUIZ | 2596 17TH AVE SAN FRANCISCO, CA 94116 | AFLAC | $1 | — | $1 | 0.00% |
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 | 1,200 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 26 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,003 | $153K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 1,200 | $401K |
| Long-term disability | SYMETRA LIFE INSURANCE COMPANY | 1,200 | $401K |
| Stop-loss / reinsurancereinsurance | AIG BENEFIT SOLUTIONS | 968 | $505K |
| Other(3 contracts, 3 carriers) | SYMETRA LIFE INSURANCE COMPANY | 1,216 | $655K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,216 | — |
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.