| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 100 FRONT STREET, SUITE 800 WORCESTER, MA 01608 | HARTFORD LIFE AND ACCIDENT | $0 | $166 | $166 | 0.18% |
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE, SUITE 500 SAN DIEGO, CA 92122 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $282 | $7 | $289 | 1.17% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES | 75 REMITTANCE DRIVE, SUITE 1446 CHICAGO, IL 60675 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $121 | $0 | $121 | 0.49% |
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE, SUITE 500 SAN DIEGO, CA 92122 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $219 | $1 | $220 | 1.75% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES | 75 REMITTANCE DRIVE, SUITE 1446 CHICAGO, IL 60675 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $120 | $0 | $120 | 0.95% |
| KAREN A WILSON3 Filed as: KAREN A. WILSON | PO BOX 886 TEMPLETON, CA 93465 | AFLAC | $2K | $42 | $2K | 29.19% |
| THERESA E GOMEZ3 Filed as: THERESA E. GOMEZ | 9815 STEELHEAD ROAD PASO ROBLES, CA 93446 | AFLAC | $841 | $8 | $849 | 11.15% |
| DANIEL VORDALE INS SVCS INC3 | 712 MERCURY AVENUE LOMPOC, CA 93436 | AFLAC | $370 | $8 | $378 | 4.97% |
| CARRIE DANETTE FELICIANO3 | 45 OUR PLACE PASO ROBLES, CA 93446 | AFLAC | $48 | $0 | $48 | 0.63% |
| TREVE D RASMUSSEN3 Filed as: TREVE D. RASMUSSEN | 430 WEST CALDWELL AVENUE, SUITE C VISALIA, CA 93277 | AFLAC | $11 | $0 | $11 | 0.14% |
| FRAN E HERR3 Filed as: FRAN E. HERR | 2337 NORTH SILVERDALE STREET VISALIA, CA 93291 | AFLAC | $6 | $0 | $6 | 0.08% |
| JAMES W. COLLIER INSURANCE AGENCY3 Filed as: JAMES W. COLLIER INS AGENCY INC | 4949 BUCKLEY WAY, SUITE 203 BAKERSFIELD, CA 93309 | AFLAC | $4 | $0 | $4 | 0.05% |
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 | 245 | 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) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 231 | $59K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 245 | $91K |
| Short-term disability(2 contracts, 2 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 83 | $32K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 245 | $91K |
| Other(5 contracts, 5 carriers) | HARTFORD LIFE AND ACCIDENT | 245 | $177K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 245 | — |
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."
No prospect flags tripped on this filing.