| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCCAREY INC | 965 MESA DRIVE CAMARILLO, CA 93010 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3K | $826 | $3K | 7.94% |
| VGM BENEFIT ENROLLMENTS LLC | 6441 3RD PALM POINTE ST ST PETERSBURG BEACH, FL 33706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $347 | $2K | 5.31% |
| SUSAN GOLD STOKES | 17042 PINEHURST LN #D HUNTINGTON BEACH, CA 92647 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $248 | $1K | 3.30% |
| RONNY ANN WARNER | 470 E WHITBECK ST KUNA, ID 83634 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $545 | — | $545 | 1.25% |
| JOHN A. BRADLEY INC. Filed as: JOHN A BRADLEY | 207 SOUTH MAIN ST FOUNTAIN INN, SC 92644 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $382 | — | $382 | 0.88% |
| R & B ENROLLMENT SERVICES INC | PO BOX 3216 CRESTLINE, CA 92325 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $191 | — | $191 | 0.44% |
| RIGOBERTO MARTINEZ | 7421 EEDINGER AVENUE HUNTINGTON BEACH, CA 92647 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $74 | — | $74 | 0.17% |
| DEL DOWNEY | 32056 MERLOT CRST TEMECULA, CA 92591 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $65 | — | $65 | 0.15% |
| PAWFORMERS LLC Filed as: PAWFORMERS | 7 REGAL WAY SIMPSONVILLE, SC 83681 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49 | — | $49 | 0.11% |
| ANDREA MARIE TIERCE | 2204 PLEASANTWOOD LANE ESCONDIDO, CA 92026 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $26 | $10 | $36 | 0.08% |
| INSYNC BENEFITS INC | P.O. BOX 1474 CORNELIUS, NC 82031 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | 0.02% |
| JOSEPH PLAOKAS | 525 20TH STREET SAN FRANCISCO, CA 94107 | CHOICE BUILDER | $4K | — | $4K | 9.91% |
| BROWN AND BROWN OF FLORIDA, INC. Filed as: WORD & BROWN GENERAL AGENCY | 721 SOUTH PARKER ORANGE, CA 92868 | CHOICE BUILDER | $2K | — | $2K | 3.96% |
| DAVIDOW FINANCIAL & INSURANCE SERVI Filed as: DAVIDOW FINANCIAL & INS SVCS | 20700 VENTURA BLVD SUITE 235 WOODLAND HILLS, CA 91364 | MUTUAL OF OMAHA | — | $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 | 74 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 74 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER PERMANENTE | 74 | $407K |
| Dental(2 contracts, 2 carriers) | CHOICE BUILDER | 77 | $49K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 3 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 77 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.