| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERWEST INSURANCE SERVICES, LLC3 | 3636 AMERICAN RIVER DRIVE 2ND FLOOR SACRAMENTO, CA 95864 | CALIFORNIA PHYSICIANS SERVICE | $69K | $0 | $69K | 5.00% |
| INTERWEST INSURANCE SERVICES, LLC3 | 8950 CAL CENTER DRIVE BUILDING 3, SUITE 200 SACRAMENTO, CA 95826 | KAISER FOUNDATION HEALTH PLAN INC | $26K | $0 | $26K | 4.63% |
| INTERWEST INSURANCE SERVICES, LLC3 | PO BOX 8110 CHICO, CA 95927 | METROPOLITAN LIFE INSURANCE COMPANY | $19K | $0 | $19K | 8.18% |
| EDGEWWOD PARTNERS INSURANCE CENTER3 | PO BOX 511398 LOS ANGELES, CA 90051 | METROPOLITAN LIFE INSURANCE COMPANY | $651 | $0 | $651 | 0.27% |
| INTERWEST INSURANCE SERVICES, LLC3 | PO BOX 8110 CHICO, CA 95927 | VISION SERVICE PLAN | $1K | $0 | $1K | 4.96% |
| ROSALIE KAY PARKS3 | 136 MARK WEST STATION ROAD WINDSOR, CA 95492 | AFLAC | $2K | $174 | $2K | 8.31% |
| MICHAEL J. MCVAY3 | 8967 CREST VIEW DRIVE CORONA, CA 92883 | AFLAC | $833 | $0 | $833 | 3.93% |
| MARK C. HUBER3 | 1260 NORTH DUTTON AVENUE, SUITE 180 SANTA ROSA, CA 95401 | AFLAC | $365 | $35 | $400 | 1.89% |
| MJ INSURANCE3 Filed as: LAURA J. RUNYEON AND VARIOUS AGENTS | 2042 WEATHERBY WAY PETALUMA, CA 94954 | AFLAC | $396 | $0 | $396 | 1.87% |
| DAVID B. KITCHEN3 | 1260 NORTH DUTTON AVENUE, SUITE 180 SANTA ROSA, CA 95401 | AFLAC | $258 | $35 | $293 | 1.38% |
| JON P BATES JR3 Filed as: JON P. BATES JR. | 440 REGENTS PARK DRIVE VALLEJO, CA 94591 | AFLAC | $109 | $0 | $109 | 0.51% |
| MARK C. HUBER3 | 480 SAN GABRIEL DRIVE SONOMA, CA 95476 | AFLAC | $79 | $0 | $79 | 0.37% |
| INTERWEST INSURANCE SERVICES, LLC3 | 1357 EAST LASSEN AVENUE CHICO, CA 95973 | MANAGED HEALTH NETWORK | $660 | $0 | $660 | 5.00% |
| INTERWEST INSURANCE SERVICES, LLC3 | PO BOX 8110 CHICO, CA 95927 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $180 | $0 | $180 | 7.01% |
| DEGATI & ASSOCIATES INC3 Filed as: DEGATI AND ASSOCIATES INC | 16059 23RD AVENUE WHITESTONE, NY 11357 | AFLAC | $68 | $0 | $68 | 3.30% |
| RICHARD PETERSON3 | 14107 20TH AVENUE, SUITE 507 WHITESTONE, NY 11357 | AFLAC | $31 | $0 | $31 | 1.51% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORP | 401 FRANKLIN AVENUE, SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $15 | $0 | $15 | 0.73% |
| BENITO A ROTONDI II INC3 Filed as: BENITO A. ROTONDI LL INC | 23 PINE RIDGE ROAD SARASOTA SPRINGS, NY 12866 | AFLAC | $2 | $0 | $2 | 0.10% |
| BRIAN WHITE3 | 6 COWDIN LANE CHAPPAQUA, NY 10514 | AFLAC | $2 | $0 | $2 | 0.10% |
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 | 215 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 8 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS SERVICE | 140 | $2.0M |
| Dental(4 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 309 | $263K |
| Vision(3 contracts, 2 carriers) | VISION SERVICE PLAN | 208 | $49K |
| Life insurance(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 309 | $261K |
| Short-term disability(2 contracts) | AFLAC | 25 | $23K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 309 | $237K |
| Prescription drug(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS SERVICE | 140 | $2.0M |
| Other(4 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 309 | $274K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 309 | — |
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."
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.