| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SALLY COKER3 Filed as: SALLY INGRAM COKER | 38275 N. 103RD PLACE SCOTTSDALE, AZ 85262 | BLUE SHIELD OF CALIFORNIA | $80K | $70 | $80K | 3.10% |
| SALLY COKER3 | 38275 N. 103RD PLACE SCOTTSDALE, AZ 85262 | KAISER FOUNDATION HEALTH PLAN, INC. | $92K | — | $92K | 3.82% |
| SALLY COKER3 | 38275 N. 103RD PLACE SCOTTSDALE, AZ 85262 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $57K | — | $57K | 7.97% |
| SALLY COKER3 Filed as: SALLY I COKER | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 9.37% |
| SALLY COKER3 Filed as: SALLY I COKER | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 8.00% |
| LORDREW INS SOLUTIONS INC3 | 3944 MURPHY CANYON RD STE C203 SAN DIEGO, CA 92123 | AFLAC | $4K | $144 | $4K | 5.28% |
| ANDREW BIALOCK3 | 5308 CORTE PLAYA JACINTO SAN DIEGO, CA 92124 | AFLAC | $3K | $18 | $3K | 3.23% |
| AGNES E MORALES3 | 22939 STOKES RD RAMONA, CA 92065 | AFLAC | $1K | $34 | $1K | 1.67% |
| DEVAN L BERRY3 | 1464 SCHOOLHOUSE WAY SAN MARCOS, CA 92078 | AFLAC | $976 | — | $976 | 1.24% |
| KEN MAJOR3 Filed as: KEN L MAJOR | 2211 MICHELSON DR STE 1150 IRVINE, CA 92612 | AFLAC | $820 | $34 | $854 | 1.09% |
| NICOLE LYNN RIHANEK3 | 5535 NIGHT OWL TER PALMETTO, FL 34221 | AFLAC | $415 | — | $415 | 0.53% |
| TIFFANY A TREVINO3 | 6718 BARNHURST DR SAN DIEGO, CA 92117 | AFLAC | $322 | — | $322 | 0.41% |
| SALLY COKER3 Filed as: SALLY I COKER | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 9.04% |
| SALLY COKER3 | 38275 N. 103RD PLACE SCOTTSDALE, AZ 85262 | CIGNA DENTAL HEALTH OF CALIFORNIA, INC. | $704 | — | $704 | 8.00% |
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 | 444 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 444 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 261 | $2.6M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 309 | $728K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 309 | $719K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 374 | $114K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 374 | $87K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 261 | $2.6M |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 359 | $180K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 374 | — |
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.