| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BETH A. HESTER3 | 1143 CHAMPAGNE LANE MANTECA, CA 95337 | AFLAC | $434 | $0 | $434 | 7.13% |
| MJ INSURANCE3 Filed as: BARRY A. WHITE AND VARIOUS AGENTS | 4506 BANTAM WAY ELK GROVE, CA 95758 | AFLAC | $145 | $0 | $145 | 2.38% |
| SERAPIO M. NAMBO3 | 2175 57TH AVENUE SACRAMENTO, CA 95822 | AFLAC | $48 | $0 | $48 | 0.79% |
| DAVID B. KITCHEN3 | 1260 NORTH DUTTON AVENUE, SUITE 180 SANTA ROSA, CA 95401 | AFLAC | $45 | $0 | $45 | 0.74% |
| GUSTAVIO ARRIAGA II3 | 5237 NORTH RIVERSIDE DRIVE SUITE 2017 FORT WORTH, TX 76137 | AFLAC | $35 | $0 | $35 | 0.58% |
| LANCE WALUSKO3 | 1405 EAST ORANGEBURG AVENUE MODESTO, CA 95355 | AFLAC | $30 | $0 | $30 | 0.49% |
| MICHAEL E. TRIGUEIRO3 | 2500 JANE ADDAMS DRIVE SCHERTZ, TX 78154 | AFLAC | $27 | $0 | $27 | 0.44% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $139 | $0 | $139 | 9.97% |
| USI INSURANCE SERVICES LLC3 | 3247 WEST MARCH LANE, SUITE 210 STOCKTON, CA 95219 | VISION SERVICE PLAN | $128 | $0 | $128 | 9.91% |
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 | 120 | 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) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AFLAC | 120 | $6K |
| Dental | AETNA | 120 | $0 |
| Vision | VISION SERVICE PLAN | 119 | $1K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 118 | $1K |
| Prescription drug(2 contracts, 2 carriers) | AETNA | 120 | $0 |
| Other(2 contracts, 2 carriers) | AFLAC | 118 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.