| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SALLY COKER3 Filed as: SALLY INGRAM COKER | GOLD COAST INSURANCE 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | BLUE SHIELD OF CALIFORNIA PHYSICIANS' SERVICE | $0 | $84K | $84K | 3.57% |
| DAVID GEORGE CARVER3 | 100 OCEANGATE BLVD STE 800 LONG BEACH, CA 90802 | BLUE SHIELD OF CALIFORNIA PHYSICIANS' SERVICE | $0 | $11K | $11K | 0.47% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | KAISER FOUNDATION HEALTH PLAN | $62K | — | $62K | 3.09% |
| DAVID GEORGE CARVER3 Filed as: DAVID CARVER | 400 OCEANGATE STE 700 LONG BEACH, CA 90802 | KAISER FOUNDATION HEALTH PLAN | $8K | — | $8K | 0.40% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $71K | — | $71K | 9.38% |
| DAVID GEORGE CARVER3 Filed as: DAVID CARVER | 400 OCEANGATE 700 LONG BEACH, CA 90802 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $4K | — | $4K | 0.58% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 8.49% |
| DAVID GEORGE CARVER3 | 400 OCEANGATE 700 LONG BEACH, CA 90802 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $771 | — | $771 | 0.74% |
| JORDREW INS SOLUTIONS INC3 | 3944 MURPHY CANYON RD STE C203 SAN DIEGO, CA 92123 | AFLAC | $4K | $148 | $4K | 4.59% |
| DEVAN L BERRY3 | 1464 SCHOOLHOUSE WAY SAN MARCOS, CA 92078 | AFLAC | $1K | — | $1K | 1.38% |
| NICOLE LYNN RIHANEK3 | 5535 NIGHT OWL TER PALMETTO, FL 34221 | AFLAC | $582 | — | $582 | 0.67% |
| CHRISTOPHER D. JUDY3 Filed as: CHRISTOPHER D JUDY | 12051 VERANO CT SAN DIEGO, CA 92128 | AFLAC | $513 | — | $513 | 0.59% |
| MYKISHA L. THOMAS3 Filed as: MYKISHA L THOMAS | 3886 3RD AVENUE LOS ANGELES, CA 90008 | AFLAC | $452 | $42 | $494 | 0.57% |
| SHANNON L DALTON3 | 651 FLORAL DR SOLVANG, CA 93463 | AFLAC | $385 | — | $385 | 0.45% |
| NICOLE A MAY3 | 7110 ORCHARD LAKE RD UNIT 3001 WEST BLOOMFIELD, MI 48322 | AFLAC | $374 | — | $374 | 0.43% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $6K | — | $6K | 10.00% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | CIGNA DENTAL HEALTH OF CALIFORNIA | $824 | — | $824 | 9.42% |
| DAVID GEORGE CARVER3 Filed as: DAVID CARVER | 400 OCEANGATE 700 LONG BEACH, CA 90802 | CIGNA DENTAL HEALTH OF CALIFORNIA | $51 | — | $51 | 0.58% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $852 | — | $852 | 9.99% |
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 | 368 | 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) | 368 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA PHYSICIANS' SERVICE | 311 | $4.4M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 318 | $765K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 318 | $756K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 365 | $113K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 365 | $57K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA PHYSICIANS' SERVICE | 146 | $2.4M |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 365 | $190K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 365 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.