| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WINTON-IRELAND INS AGENCY3 Filed as: WINTON-IRELAND INSURANCE AGENCY, IN | PO BOX 3277 TURLOCK, CA 95381 | KAISER FOUNDATION HEALTH PLAN INC. | $42K | $0 | $42K | 2.75% |
| WINTON-IRELAND INS AGENCY3 | 687 E CANAL DRIVE TURLOCK, CA 95380 | BLUE SHIELD OF CALIFORNIA | $41K | — | $41K | 4.50% |
| WINTON-IRELAND INS AGENCY3 Filed as: WINTON IRELAND INS AGENCY INC. | 627 E CANAL DRIVE TURLOCK, CA 95381 | DELTA DENTAL OF CALIFORNIA | $14K | — | $14K | 5.00% |
| HOLLERN & ASSOCIATES INCORPORATED3 | 11412 ROBBIA DRIVE LAS VEGAS, NV 89138 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 1.49% |
| WAYNE RIMMER3 Filed as: WAYNE P SMITH | 1113 WEST GROVE WAY COEUR D ALENE, ID 83815 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 1.37% |
| DOUGLAS HIBL3 | 1620 NORTH CARPENTER RD MODESTO, CA 95351 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $951 | $0 | $951 | 1.26% |
| LISA M KELLEY3 | 2019 LUGANO CT MANTECA, CA 95337 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $885 | $0 | $885 | 1.17% |
| ROBERT E PONCINI3 Filed as: ROBERT W HEITMAN | 3625 GANADO WAY MODESTO, CA 95356 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $655 | $0 | $655 | 0.86% |
| DEBORAH LYNN WELLS3 | 5809 MARK TWAIN AVENUE SACRAMENTO, CA 95820 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $478 | $107 | $585 | 0.77% |
| PAMELA KAY LONG3 | 200 S. LEXINGTON DRIVE FOLSOM, CA 95630 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $371 | $45 | $416 | 0.55% |
| CANDACE ELISE EUSEBIO3 | 5756 OWENS DRIVE APT 205 PLEASANTON, CA 94588 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $313 | $80 | $393 | 0.52% |
| ANTHONY GLENN WELLS3 | 5809 MARK TWAIN AVE. SACRAMENTO, CA 95820 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $142 | $22 | $164 | 0.22% |
| CASEY JAMES KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $26 | $108 | $134 | 0.18% |
| DARRYL W VIDOR3 | 4030 LENNANE AVE SACRAMENTO, CA 95834 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $61 | $66 | $127 | 0.17% |
| BRIAN ROBERT LLOYD3 | PO BOX 11 KNIGHTSEN, CA 94548 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $26 | $70 | $96 | 0.13% |
| SCOTT E BOORE3 | 8 STONEHAVEN CT NOVATO, CA 94947 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $54 | $0 | $54 | 0.07% |
| COMPASS BENEFITS & INSURANCE SERVIC3 | 5027 DYNASTY WAY SACRAMENTO, CA 95835 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $36 | $3 | $39 | 0.05% |
| VOLUNTARY BENEFITS ADVISORY NETWORK3 | 1151 SOUZA WAY FOLSOM, CA 95630 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $24 | $6 | $30 | 0.04% |
| NAOMI R HALL3 | 1930 EAST HAROLD AVE VISALIA, CA 93292 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $28 | $0 | $28 | 0.04% |
| TONEY CHIMIENTI3 | 3400 WEST MINERAL KING AVE VISALIA, CA 93291 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $20 | $0 | $20 | 0.03% |
| G SCOTT COOKE3 Filed as: SCOTT ALLEN BEER | 8385 N RAISINA AVE FRESNO, CA 93720 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $0 | $6 | 0.01% |
| CHERYL D SMITH3 | 1113 WEST GROVE WAY COERUR D ALENE, ID 83815 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| WINTON-IRELAND INS AGENCY3 Filed as: WINTON IRELAND STROM & GREEN | P.O. BOX 3277 TURLOCK, CA 95381 | VISION SERVICE PLAN | $1K | — | $1K | 4.43% |
| WINTON-IRELAND INS AGENCY3 | 687 E CANAL DRIVE TURLOCK, CA 95380 | BLUE SHIELD OF CALIFORNIA | $533 | — | $533 | 5.00% |
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 | 225 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 225 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 277 | $2.4M |
| Dental | DELTA DENTAL OF CALIFORNIA | 191 | $276K |
| Vision | VISION SERVICE PLAN | 184 | $34K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 225 | $86K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 77 | $76K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 225 | $86K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 277 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.