| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRIAN MULHOLLAND3 | 301 S HAM LN STE F LODI, CA 95242 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $16K | — | $16K | 1.67% |
| JOHN DAVIDSON3 | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | REGENCE BLUECROSS BLUESHIELD OF OREGON | $8K | $1K | $10K | 0.98% |
| LEAVITT GROUP3 Filed as: LEAVITT UNITED INSURANCE SERVICES | PO BOX 27020 FRESNO, CA 93729 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $436 | $4K | 8.96% |
| BRITTANY LLOYD3 | PO BOX 4942 EL DORADO HILLS, CA 95762 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $2K | $4K | 8.32% |
| CASEY JAMES KUGLER3 Filed as: CASEY JAMES HUGLER | 906 HAWKS FEATHER LANE ROCKLIN, CA 95765 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $486 | $1K | $2K | 3.73% |
| BRIAN ROBERT LLOYD3 | PO BOX 11 KIGHTSEN, CA 94548 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $453 | $836 | $1K | 2.74% |
| JAN N HEIMBAUGH3 Filed as: JAN MYERS | 810 NE HOLLY ST MYRTLE CREEK, OR 97457 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $956 | $6 | $962 | 2.04% |
| STEPHANIE NOELLE KUGLER3 | 906 HAWKS FEATHER LANE ROCKLIN, CA 95765 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $583 | $259 | $842 | 1.79% |
| SUSAN CARNEY3 | 55565 PROSPER JUNCTION RD BRANDON, OR 97411 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $728 | — | $728 | 1.55% |
| STARLA DAWN SNYDER3 | 497 N OLD PACIFIC HWY MYRTLE CREEK, OR 97457 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $656 | — | $656 | 1.39% |
| LARRY P HILDEBRANDT3 Filed as: LARRY KENNETH GRIFFIN | 2333 DERRY COURT MEDFORD, OR 97504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $160 | — | $160 | 0.34% |
| LEAVITT GROUP3 Filed as: LEAVITT UNITED INSURANCE SERVICES | PO BOX 27020 FRESNO, CA 93729 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $1K | $7K | 14.97% |
| BRITTANY LLOYD3 | 309 PARKFIELD WAY OKLEY, CA 94561 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $3K | $5K | 11.69% |
| CASEY JAMES KUGLER3 | 906 HAWKS FEATHER LANE ROCKLIN, CA 95765 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $609 | $2K | $3K | 5.93% |
| BRIAN ROBERT LLOYD3 | PO BOX 11 KNIGHTSEN, CA 94548 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $601 | $1K | $2K | 4.13% |
| JAN N HEIMBAUGH3 Filed as: JAN MYERS | 810 NE HOLLY ST MYRTLE CREEK, OR 97457 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $92 | $2K | 4.02% |
| STARLA DAWN SNYDER3 | 497 N OLD PACIFIC HWY MYRTLE CREEK, OR 97457 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $130 | $1K | 2.96% |
| SUSAN CARNEY3 | 55565 PROSPER JUNCTION RD BRANDON, OR 97411 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 2.93% |
| STEPHANIE NOELLE KUGLER3 | 906 HAWKS FEATHER LANE ROCKLIN, CA 95765 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $793 | $351 | $1K | 2.50% |
| LARRY P HILDEBRANDT3 Filed as: LARRY KENNETH GRIFFIN | 2333 DERRY COURT MEDFORD, OR 97504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $311 | — | $311 | 0.68% |
| LEAVITT GROUP3 Filed as: LEAVITT UNITED INSURANCE SERVICES | 3245 W FIGARDEN DR FRESNO, CA 93711 | VISION SERVICE PLAN | $886 | — | $886 | 6.42% |
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 | 146 | 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) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | REGENCE BLUECROSS BLUESHIELD OF OREGON | 108 | $976K |
| Dental | OREGON DENTAL SERVICE DBA DELTA DENTAL PLAN OF OREGON | 129 | $97K |
| Vision | VISION SERVICE PLAN | 13 | $14K |
| Life insurance(2 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 143 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 143 | — |
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.