| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | BLUE SHIELD OF CALIFORNIA CALIFORNIA PHYSICIANS SERVICE | $77K | — | $77K | 3.09% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | KAISER FOUNDATION HEALTH PLAN, INC. | $83K | — | $83K | 3.42% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $58K | — | $58K | 7.97% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $9K | — | $9K | 9.40% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | — | $7K | 8.00% |
| JORDREW INS SOLUTIONS INC3 | 3944 MURPHY CANYON RD STE C203 SAN DIEGO, CA 92123 | AFLAC | $4K | — | $4K | 4.72% |
| DEVAN L BERRY3 | 1464 SCHOOLHOUSE WAY SAN MARCOS, CA 92078 | AFLAC | $1K | — | $1K | 1.47% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 9.05% |
| SALLY COKER3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | CIGNA DENTAL HEALTH OF CALIFORNIA INC | $564 | — | $564 | 7.99% |
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 | 414 | 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) | 414 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA CALIFORNIA PHYSICIANS SERVICE | 327 | $4.9M |
| Dental(2 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 311 | $733K |
| Vision | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 311 | $726K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 414 | $111K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 260 | $83K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA CALIFORNIA PHYSICIANS SERVICE | 281 | $2.5M |
| Other(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 414 | $181K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 414 | — |
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.