| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DENNIS LEE INSURANCE SERVICES INC3 | 4688 W JENNIFER #103 FRESNO, CA 93722 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $86K | — | $86K | 3.10% |
| DENNIS LEE INSURANCE SERVICES INC3 | 4688 W JENNIFER #103 FRESNO, CA 93722 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $13K | — | $13K | 5.00% |
| DAVID QUACKENBUSH3 Filed as: DAVID ALLAN BEDROSIAN | PO BOX 6953 VISALIA, CA 93290 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | — | $5K | 3.74% |
| BARRY W MAAS3 | PO BOX 5809 FRESNO, CA 93755 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $1K | $4K | 3.07% |
| DENNIS LEE INSURANCE SERVICES INC3 | 4688 W JENNIFER AVE FRESNO, CA 93722 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 2.84% |
| THERESA NETTO PHILLIPS3 | 6219 S CLARA FRESNO, CA 93706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $233 | $2K | 1.55% |
| ROSE RODRIQUEZ CUEVAS3 | 1675 S FRANKWOOD AVE REEDLEY, CA 93654 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $85 | $1K | 0.89% |
| CRYSTAL LYNN KNIGHT3 | 11909 KENSETH ST BAKERSFIELD, CA 93312 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $747 | $43 | $790 | 0.59% |
| VICKY LYN SWANSON3 Filed as: VICKY LYNN SWANSON | 755 AMBERGLEN COURT COLORADO SPRINGS, CO 80906 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $519 | $63 | $582 | 0.43% |
| KYM ELIZABETH DUNHAM3 | 828 SAFFLOWER CT HENDERSON, NV 89015 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $383 | $73 | $456 | 0.34% |
| ISAACSON INSURANCE AGENCY LLC3 | 345 CONSTITUTION WAY NORTH SALT LAKE, UT 84054 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $351 | $88 | $439 | 0.33% |
| WILLIAM WAYNE STIGILE3 | 514 GRINDSTONE WOODBRIDGE, CA 95258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $155 | $5 | $160 | 0.12% |
| ZULMA YESENIA MAZARIEGOS3 | 100 WEST MIDWAY DRIVE ANAHEIM, CA 92805 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $134 | — | $134 | 0.10% |
| CANDACE FRANCINE JANZEN3 | 1382 E SAMPLE AVENUE FRESNO, CA 93710 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $131 | $1 | $132 | 0.10% |
| CATHERINE LISA LUKE3 | 1922 THE ALAMEDA SUITE 212 SAN JOSE, CA 95126 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $69 | $50 | $119 | 0.09% |
| GINA M WESOLEK3 | 114 LAKE WOOD CIRCLE WOODWARD PARK, CO 80863 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $81 | $37 | $118 | 0.09% |
| LAMBERT MONTALBO3 | 26197 MIRADA ST HIGHLAND, CA 92346 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $108 | $5 | $113 | 0.08% |
| JON C RICHERT3 | 33555 WARWICK HILLS RD YUCAIPA, CA 92399 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $89 | — | $89 | 0.07% |
| JAROLD L WELKER3 | 1922 N 45TH ST PHOENIX, AZ 85008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $73 | $2 | $75 | 0.06% |
| CHARLES D. BLOCK3 Filed as: CHARLES DUANE SMITH | 4040 EAST PIEDMONT DRF HIGHLAND, CA 92346 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $70 | — | $70 | 0.05% |
| LAURIE ANN NIPP3 | 857 MONTEVINO DR PLEASANTON, CA 94566 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $70 | — | $70 | 0.05% |
| BEVERLY M SEMMENS3 Filed as: BEVERLY WARD BERGTHOLD | 1043 NORMINGTON WAY SAN JOSE, CA 95136 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $69 | $1 | $70 | 0.05% |
| DEBORAH ANN BERRY3 | 1042 E 9TH PLACE MESA, AZ 85203 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $68 | — | $68 | 0.05% |
| DONALD C SAVOY INC3 Filed as: DONALD TERRY GOTHAM | 4009 N 9TH ST TACOMA, WA 98406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $58 | — | $58 | 0.04% |
| R AND T FIGUEROA LLC3 Filed as: R&T FIGUEROA | 7569 S CARISLE AVE TUCSON, AZ 85746 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | — | $50 | 0.04% |
| OMEGA FINANCIAL AND INSURANCE SOLUT3 Filed as: OMEGA FINANCIAL AND INSURANCE SOULT | 4663 CREEPING FIG CT LAS VEGAS, NV 89129 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $16 | $34 | 0.03% |
| TIM VINCENT INS AGY INC3 | 3489 WEST 10305 SOUTH SOUTH JORDAN, UT 84095 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | $11 | $33 | 0.02% |
| MICHAEL JAMES LEBRANE3 | 808 EAST 5TH AVE SAN MATEO, CA 94402 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $33 | — | $33 | 0.02% |
| JOHN D EVANGELISTA3 | 26111 ANTONIO PARKWAY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | $11 | $33 | 0.02% |
| MARGARETA COLLIN3 | 2201 EAST WILLOW ST #D147 SIGNAL HILL, CA 90755 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | — | $32 | 0.02% |
| MAGNONE FINANCIAL SERVICES CORP3 | 3151 OUTRIGGER AVE VENTURA, CA 93001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | — | $32 | 0.02% |
| ELIZABETH REYNERTSON3 | 4725 ROSEBANK DR LA CANADA, CA 91011 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | — | $30 | 0.02% |
| STEVEN J FARRINGTON3 | 902 WEST HALSTEAD DR NORTH SALT LAKE, UT 84054 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | $4 | $26 | 0.02% |
| DANSANA CORP3 | PO BOX 17138 PLANTATION, FL 33318 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 0.02% |
| LORI ANN BURNS3 | 1558 NORTH OXFORD AVE CLOVIS, CA 93619 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.02% |
| JANE CONKLIN MILLER3 | 8566 FALLBROOK CIRCLE HUNTINGTON BEACH, CA 92646 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.02% |
| INTEGRAL INSURANCE AGENCY LLC3 | 216 B NORRIS CANYON PLACE SAN RAMON, CA 94583 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | $10 | $20 | 0.01% |
| JAMES CLIFFORD PERRY3 | 4880 PIEDMONT PLACE RENO, NV 89502 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $1 | $19 | 0.01% |
| CATHY BUFFONE3 Filed as: CATHY BUFFONE C/O BUFFONE & ASSOC | 1412 PENINSULA POINT AVE LAS VEGAS, NV 89123 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $2 | $19 | 0.01% |
| ADVANCED AGENTS INC3 | 1488 CORONADO RD WESTON, FL 33327 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.01% |
| SARAH PALOMINO-GAETA3 | 16725 FOUNTAIN AVE MORGAN HILL, CA 95037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.01% |
| LISA M NARANJO3 | PO BOX 1107 SAN MARTIN, CA 95046 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.01% |
| MICHAEL KIRKPATRICK3 | PO BOX 270 FREEDOM, CA 95050 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.01% |
| KENNETH EUGENE THOMPSON3 | 701 S HENDERSON ST SEATTLE, WA 98108 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | — | $13 | 0.01% |
| LUIS RAFAEL VALLE3 | 2354 CHATKA LANE SAN BERNARDINO, CA 92410 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | $1 | $12 | 0.01% |
| PATRICIA ACKERMAN3 | 1863 NW 96TH AVENUE PLANTATION, FL 33322 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| MEREDITH BREWER3 | 11338 WESLEY LAKE DRIVE JACKSONVILLE, FL 32220 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| GLEN E MILLER3 | 8566 FALLBROOK CIR HUNTINGTON BEACH, CA 92646 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $9 | — | $9 | 0.01% |
| SUSAN HENDRICKS3 | 6718 N PALM CANYON DR PHOENIX, AZ 85018 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | $1 | $8 | 0.01% |
| LORRIE ANN RODRIGUEZ3 | 1922 E ECLIPSE FRESNO, CA 93720 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $1 | $7 | 0.01% |
| PAMELA S DUCUMMON3 | 3540 W SAHARA AVE LAS VEGAS, NV 89102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| STEPHANIE LYNN LAFRANCE3 | 12219 76TH AVENUE SOUTH SEATTLE, WA 98178 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.00% |
| BONNIE CHIN SATO3 | 18525 SUTTER BLVD., SUITE #200 MORGAN HILL, CA 95037 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| GROUP SUPPLEMENTAL BENEFITS INC3 | 31805 TEMECULA PARKWAY TEMECULA, CA 92592 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| MICHELLE ANN REESE3 | 9000 SPRING RD COLTON, CA 92324 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| PATRICIA FERNANDEZ3 | 1113 W MONTE CRISTO AVENUE PHOENIX, AZ 85023 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| BRIAN WHITE3 Filed as: BRIAN RODERICK | 3104 MCALLISTER ST DUPONT, WA 98327 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.00% |
| MARIA C GONZALEZ3 | 11677 SANDPIPER CT MORENO VALLEY, CA 92557 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| MARTHA R BAEZ3 | 2179 OLD BRIDGE RD RIVERSIDE, CA 82506 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| EUGENE L BOWEN JR3 | 1438 WESSEX CIR RENO, NV 89503 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| CALIFORNIA INSURANCE ADVOCATES INC3 | 41960 AVENIDA DE ANITA TEMECULA, CA 92592 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.00% |
| GUY SANMIGUEL3 | 3038 SW 138TH AVE MIRAMAR, FL 33027 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| GUADALUPE DENNIS3 | 7723 LONGS PEAK DRIVE RIVERSIDE, CA 92509 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| SHANE G ROSS3 | 8721 PREDERA CT RANCHO CUCAMONGA, CA 91730 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| RANDY DAHL3 | 707 SOUTH GRADY WAY RENTON, WA 98057 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| NIKKI PECORINO3 | 1650 HANOVER DRIVE RENO, NV 89523 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| EC BENEFITS INC3 | 8038 S 38TH PL PHOENIX, AZ 85042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| RICHARD WILLIAM FRIEDMAN3 | 23927 RUSTICO CT SANTA CLARITA, CA 91354 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| WARREN LEE RUND3 | 7395 OFFENHAUSER DR RENO, NV 89511 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| JUDY INEZ BUCHOLTZ3 Filed as: JUDY I BUCHOLTZ | 12517-217TH AVE CT E BONNEY LAKE, WA 98391 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| DAVID ALVARADO3 | 2643 OLD COUNTY RD NEWARK, DE 19702 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| VOLUNTARY SOLUTIONS INC3 Filed as: VOLUNTARY SOLUTIONS | 195 TELLURIDE STREET BRIGHTON, CO 80601 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| MICHAEL MARSHALL3 | 1134 SE 6TH CT DANIA BEACH, FL 33004 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| CONSUMER DRIVEN BENEFITS LLC3 | 3737 BIRCH ST NEWPORT BEACH, CA 92660 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $0 | — | $0 | 0.00% |
| DAVID QUACKENBUSH3 Filed as: DAVID BEDROSIAN | 3865 WOLCOTT PL COLORADO SPRINGS, CA 80906 | AFLAC | $139 | $0 | $139 | 6.17% |
| DAVID L JAMES3 | PO BOX 27756 FRESNO, CA 93729 | AFLAC | $32 | — | $32 | 1.42% |
| ALAN LANCE BRADSHAW | 410 E LA CROSSE AVE FOWLER, CA 93625 | AFLAC | $26 | — | $26 | 1.15% |
| TRENT T WELLS3 | PO BOX 5765 SAN CLEMENTE, CA 92674 | AFLAC | $16 | — | $16 | 0.71% |
| VICENTE GONZALEZ3 | 1222 D NAKOMA DR SANTA ANA, CA 92704 | AFLAC | $12 | — | $12 | 0.53% |
| MICHAEL M HANING3 | 581 WEST JORDAN AVE CLOVIS, CA 93611 | AFLAC | $11 | — | $11 | 0.49% |
| HENRY DUNN INC3 Filed as: HENRY J IRELAND | 5225 PENTECOST DR STE 24 MODESTO, CA 95356 | AFLAC | $9 | — | $9 | 0.40% |
| DOUGLAS E FOX3 | 735 S GARFIELD AVE STE 203 TRAVERSE CITY, MI 49686 | AFLAC | $8 | — | $8 | 0.36% |
| DAVID M COUGHLIN3 | 751 HEBRON PARKWAY STE 220 LEWISVILLE, TX 75057 | AFLAC | $7 | — | $7 | 0.31% |
| JOSEPH HOFFMAN3 | 1623 CAMINO DE SALMON ST CORONA, CA 92881 | AFLAC | $7 | — | $7 | 0.31% |
| ILIC-STONE INS SERVICES INC3 | 1285 W SHAW AVE STE 101 FRESNO, CA 93711 | AFLAC | $7 | — | $7 | 0.31% |
| BETH SJOSTRAND3 | 162 S CLOVER AVE FRESNO, CA 93727 | AFLAC | $6 | — | $6 | 0.27% |
| MELODY B THOMPSON3 Filed as: MELODY P IRELAND | 5225 PENTECOST DR STE 24 MODESTO, CA 95356 | AFLAC | $4 | — | $4 | 0.18% |
| JEFFREY B GRAVES3 | 30861 VIA COLINAS TRABUCO CANYON, CA 92679 | AFLAC | $3 | — | $3 | 0.13% |
| CHARLES EDWARD PERRY3 | 12858 TORREY PINES DR AUBURN, CA 95602 | AFLAC | $3 | — | $3 | 0.13% |
| DEBRA A WALDMAN3 | 24182 DELPHI ST MISSION VIEJO, CA 92691 | AFLAC | $2 | — | $2 | 0.09% |
| DAVID BECKSTEAD3 Filed as: DAVID R BECKSTEAD | 8 CRIMSON RDG HURRICANE, UT 84737 | AFLAC | $2 | — | $2 | 0.09% |
| LESTER RAY BLACKSHEAR3 | 500 E FORT KING ST STE A OCALA, FL 34471 | AFLAC | $1 | — | $1 | 0.04% |
| JAMES S GIRAUD3 | 24182 VIA SAN CLEMENTE MISSION VIEJO, CA 92692 | AFLAC | $1 | — | $1 | 0.04% |
| WILLIAM B KRZCIOK3 | 2760 FORT MYER AVE HENDERSON, NV 89052 | AFLAC | $0 | — | $0 | 0.00% |
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 | 424 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 424 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 420 | $2.8M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 424 | $264K |
| Life insurance(2 contracts, 2 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 420 | $2.9M |
| Short-term disability(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 165 | $136K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 424 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.