| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD SUITE 800 CONCORD, CA 94520 | ANTHEM BLUE CROSS AND BLUE SHIELD | $124K | $3K | $127K | 3.31% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $11K | $5K | $15K | 14.26% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 102159 PASADENA, CA 91189 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 9.10% |
| MINES INSURANCE SERVICES INC3 Filed as: MINES INSURANCE SERVICE INC | 1519 BARTH AVE RICHMOND, CA 94806 | AFLAC | $2K | $132 | $2K | 6.08% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 734004 CHICAGO, IL 60673 | AFLAC | $2K | — | $2K | 4.22% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: MATTHEW DOMINIC BROWN | 490 43RD ST #1009 OAKLAND, CA 94609 | AFLAC | $226 | — | $226 | 0.56% |
| CHRIS KELLY3 | 252 WIKIUP MEADOWS DR SANTA ROSA, CA 95403 | AFLAC | $118 | $40 | $158 | 0.39% |
| SCOTT R. FENTON3 Filed as: SCOTT R FENTON | 945 TARAVAL ST #1137 SAN FRANCISCO, CA 94116 | AFLAC | $155 | — | $155 | 0.38% |
| CHELSEA BROOKE WAITE3 | 200 DE NORMANDIE WAY MARTINEZ, CA 94553 | AFLAC | $91 | $51 | $142 | 0.35% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN DANIEL PAYNE | 3572 SHADOWTREE LN CHICO, CA 95928 | AFLAC | $108 | — | $108 | 0.27% |
| KRISTINA J KUNZ3 | 108 MADRONE AVE SAN FRANCISCO, CA 94127 | AFLAC | $102 | — | $102 | 0.25% |
| JUSTIN M REYNOLDS3 | 8433 ENTERPRISES CIR STE 100 LAKEWOOD RANCH, FL 34202 | AFLAC | $60 | — | $60 | 0.15% |
| MATT SMITH3 | 1746 28TH AVE SAN FRANCISCO, CA 94122 | AFLAC | $53 | — | $53 | 0.13% |
| MICHAEL C WALKER3 Filed as: MICHAEL JAMES RHODD | 4160 GREEN VALLEY RD FAIRFIELD, CA 94534 | AFLAC | $51 | — | $51 | 0.13% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $50 | — | $50 | 0.12% |
| JON P BATES JR3 | 440 REGENTS PARK RD VALLEJO, CA 94591 | AFLAC | $49 | — | $49 | 0.12% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | AFLAC | $46 | — | $46 | 0.11% |
| SERGIO I GARCIA3 | 8175 NW 107TH AVE APT 501 DORAL, FL 33178 | AFLAC | $34 | — | $34 | 0.08% |
| SAHAR QABAZARD3 | 443 S MAPLE DR BEVERLY HILLS, CA 90212 | AFLAC | $23 | — | $23 | 0.06% |
| GUILLERMO H PALOMINO3 | 14224 N 26TH DR PHOENIX, AZ 85023 | AFLAC | $14 | — | $14 | 0.03% |
| REBECCA J HANEY3 | 825 TALBART ST MARTINEZ, CA 94553 | AFLAC | $13 | — | $13 | 0.03% |
| CHRIS BRANSON3 | PO BOX 930 MAKAWAO, HI 96768 | AFLAC | $12 | — | $12 | 0.03% |
| VICTORIA L FLYNN3 Filed as: VICTORIA HOWARD | 1365 CAMINO PERAL #A MORAGA, CA 94556 | AFLAC | $7 | — | $7 | 0.02% |
| KEVIN DAVID KIME3 | 1708 MAKEFIELD RD YARDLEY, PA 19067 | AFLAC | $7 | — | $7 | 0.02% |
| WILLIAM G SHIELDS3 | 4658 VISTA ST SAN DIEGO, CA 92116 | AFLAC | $5 | — | $5 | 0.01% |
| JEROME RAYMOND STRAYVE JR3 | 2358 UNIVERSITY AVE 776 SAN DIEGO, CA 92104 | AFLAC | $3 | — | $3 | 0.01% |
| LAUREL NICOLE HARMS3 | 785 TURRINI DR DANVILLE, CA 94526 | AFLAC | $1 | — | $1 | 0.00% |
| EDWARD M RYSKA3 | 6010 ROBLAR RD PETALUMA, CA 94952 | AFLAC | $1 | — | $1 | 0.00% |
| ANDREW R GRETHEL3 | 11739 HICKORY RUN CT LOVELAND, OH 45140 | AFLAC | $1 | — | $1 | 0.00% |
| CARLA B KEITH3 | 614 MAGNOLIA AVE OCEAN SPRINGS, MS 39564 | AFLAC | $1 | — | $1 | 0.00% |
| REMMEL SOLUTIONS4 | 1183 SWALLOWTAIL WAY NIPOMO, CA 93444 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $3K | — | $3K | 11.69% |
| EDGEWOOD PARTNERS INSURANCE CENTER4 | 1390 WILLOW PASS RD STE 800 CONCORD, CA 94520 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $878 | — | $878 | 3.88% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 225 NE MIZNER BLVD STE 675 BOCA RATON, FL 33432 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $614 | $2K | 14.35% |
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 | 538 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 544 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANTHEM BLUE CROSS AND BLUE SHIELD | 518 | $3.8M |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 307 | $57K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 538 | $14K |
| Short-term disability | AFLAC | 46 | $41K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 483 | $107K |
| Prescription drug | ANTHEM BLUE CROSS AND BLUE SHIELD | 518 | $3.8M |
| Other(2 contracts, 2 carriers) | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | 538 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 538 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.