| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAYTON SAYER INSURANCE AGENCY INC. | 1166 ESPLANADE SUITE 1 CHICO, CA 95926 | BLUE CROSS OF CALIFORNIA | $60K | — | $60K | 1.65% |
| ASSUREDPARTNERS Filed as: EMERSON ROGERS LLC | 5200 N PALM AVE #114 FRESNO, CA 93704 | BLUE CROSS OF CALIFORNIA | $13K | — | $13K | 0.37% |
| ROGERS BENEFIT GROUP INC | 5110 N 40TH ST STE 234 PHOENIX, AZ 85018 | BLUE CROSS OF CALIFORNIA | $6K | — | $6K | 0.17% |
| DAYTON SAYER INSURANCE AGENCY INC. | 1166 ESPLANADE SUITE 1 CHICO, CA 95926 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $60K | — | $60K | 19.06% |
| ASSUREDPARTNERS Filed as: EMERSON ROGERS LLC | 5200 N PALM AVE #114 FRESNO, CA 93704 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $13K | — | $13K | 4.24% |
| ROGERS BENEFIT GROUP INC | 5110 N 40TH ST STE 234 PHOENIX, AZ 85018 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $6K | — | $6K | 1.95% |
| DAYTON SAYER INSURANCE AGENCY INC. | 1166 ESPLANADE SUITE 1 CHICO, CA 95926 | VISION SERVICE PLAN | $1K | — | $1K | 2.80% |
| ASSUREDPARTNERS Filed as: EMERSON ROGERS LLC | 669 RIVER DR CENTER II, STE 30 ELMWOOD PARK, NJ 07407 | VISION SERVICE PLAN | $512 | — | $512 | 1.20% |
| DAYTON SAYER INSURANCE AGENCY INC. | PO BOX 3640 CHICO, CA 95927 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | — |
| ASSUREDPARTNERS Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE, SUITE 305 ELMWOOD PARK, NJ 07407 | ANTHEM LIFE INSURANCE COMPANY | $211 | — | $211 | — |
| ROGERS BENEFIT GROUP INC Filed as: ROGERS BENEFIT GROUP LLC | 5110 N 40TH STREET #234 PHOENIX, AZ 85018 | ANTHEM LIFE INSURANCE COMPANY | $163 | — | $163 | — |
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 | 296 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 296 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 419 | $3.6M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 547 | $316K |
| Vision | VISION SERVICE PLAN | 268 | $43K |
| Life insurance | ANTHEM LIFE INSURANCE COMPANY | 589 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 589 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.