| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONE | — | NEW YORK LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| NONE | — | COMBINED STATES L.S., INC. | — | — | $0 | 0.00% |
| DOUG BORG3 Filed as: DOUG BORD | 42425 JACKSON ST. C104 INDIO, CA 92203 | ALLSTATE | — | $345 | $345 | 4.32% |
| SUNRAYS INS SERVICES3 | 23875 VENTURA BLVD STE 201B CALABASAS, CA 91302 | ALLSTATE | — | $9 | $9 | 0.11% |
| JEFFERY REYNOLDS3 | 2515 VENTURE OAKS WAY #200 SACRAMENTO, CA 95833 | FIDELITY SECURITY LIFE | $6 | — | $6 | 3.85% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MICHAEL SMALLEY EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $294K |
| BENJAMIN SYBESMA EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $220K |
| KATHLEEN A KEEFE EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $149K |
| SUMAN JHA EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $137K |
| LUPITA RUIZ EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $98K |
| MICHELLE L SAIENN EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $97K |
| JOE GONSALVES CONSULTING EIN 53-0668189 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $97K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $90K |
| DEBORAH A JOHNSON EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $83K |
| JORDAN BARGAS EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $80K |
| PETER J SANDS EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $79K |
| KATHRYN L GEURRIERO EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $72K |
| AMY LIVINGSTONE EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $72K |
| TRUCKER HUSS EIN 94-3216063 NONE | Direct payment from the plan; Legal Service code 29 | ONE EMBARCADERO CENTER, 12TH FLOOR SAN FRANCISCO, CA 941113617 | $71K |
| KATHRYN A KNIGHT EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $71K |
| LISA TENNISON EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $70K |
| VERONICA M SAMPSON EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $67K |
| CYNTHIA R OLIVER EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $67K |
| TERESA L CONDON EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $64K |
| JANET L SANDS EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $64K |
| SHANA M SIMS EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $63K |
| STEVEN HALL EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $62K |
| SELLWOOD EIN 80-0827237 NONE | Investment management fees paid directly by plan Service code 51 | — | $62K |
| SHALLY SINGH EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $62K |
| LORETTA J DOOLEY EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $57K |
| CONNIE QUARTIER EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $57K |
| GERROLD EATON EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $55K |
| JONI SMALLEY EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $54K |
| ANGELA MURILLO EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $52K |
| KEVIN SMALLEY EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $52K |
| DANIEL BEAMAN EIN 94-6459649 TRUSTEE | Trustee (directed); Direct payment from the plan Service code 25 | — | $51K |
| OFELIA AUSTIN EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $47K |
| MELISSA GRANDY EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $47K |
| PATRICK DAY EIN 94-6459649 TRUSTEE | Trustee (directed); Direct payment from the plan Service code 25 | — | $43K |
| CHRISTINE N MONTIJO EIN 94-6459649 EMPLOYEE | Other fees; Direct payment from the plan Service code 50 | — | $38K |
| HEMMING MORSE EIN 30-0702322 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $29K |
| JAMES BAUMILLER EIN 94-6459649 TRUSTEE | Direct payment from the plan; Trustee (directed) Service code 25 | — | $27K |
| STEVEN HERRERA EIN 94-6459649 TRUSTEE | Direct payment from the plan; Trustee (directed) Service code 25 | — | $26K |
| N.W. PLAN SERVICES NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | P.O. BOX 1931 TACOMA, WA 98401 | $23K |
| WESSON CHERRY EIN 94-6459649 TRUSTEE | Trustee (directed); Direct payment from the plan Service code 25 | — | $23K |
| COLETTE Y EAGLES EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $21K |
| US LEGAL EIN 68-0115281 NONE | Other services; Plan Administrator Service code 14 | — | $16K |
| CHARLES SCHWAB & CO EIN 94-1737782 NONE | Custodial (securities); Investment management fees paid directly by plan Service code 19 | — | $6K |
| TONI GURULE EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Other fees Service code 50 | — | $6K |
| WELLS FARGO EIN 13-3771734 NONE | Direct payment from the plan; Insurance brokerage commissions and fees Service code 50 | — | $5K |
| AMALGAMATED BANK EIN 95-4314552 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $4K |
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 | 28,858 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12,749 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 41,607 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ALLSTATE | 23 | $8K |
| Life insurance(3 contracts, 3 carriers) | NEW YORK LIFE INSURANCE COMPANY | 2,734 | $5.9M |
| Other(5 contracts, 5 carriers) | NEW YORK LIFE INSURANCE COMPANY | 9,525 | $11.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,525 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.