| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COKER S INGRAHAM-GOLD COAST INS3 | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | HEALTH NET | $48K | $0 | $48K | 3.89% |
| SALLY COKER3 | 6511 E RENDINA STREET LONG BEACH, CA 90815 | KAISER FOUNDATION HEALTH PLAN, INC | $27K | $0 | $27K | 3.60% |
| DELTA DENTAL OF CALIFORNIA3 | 17871 PARK PLAZA DRIVE SUITE 200 CERRITOS, CA 90703 | DELTA DENTAL OF CALIFORNIA | $0 | $6K | $6K | 3.58% |
| ABEL A. DELUNA3 Filed as: ABEL DELUNA | 1270 W 39TH STREET APT 5 LOS ANGELES, CA 90037 | AFLAC | $2K | $0 | $2K | 2.61% |
| SALLY COKER3 Filed as: SALLY INGRAM COKER | 6511 E RENDINA ST LONG BEACH, CA 90815 | AFLAC | $2K | $0 | $2K | 2.60% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN HAJIMOMEN | 1561 E ORANGETHORPE AVE SUITE 200 FULLERTON, CA 92831 | AFLAC | $1K | $18 | $1K | 1.88% |
| JANELLE M ZAMORA3 | 421 W BROADWAY APT 4157 LONG BEACH, CA 90802 | AFLAC | $929 | $0 | $929 | 1.39% |
| DAVID HERNANDEZ3 | 1160 E MARIPOSA AVE EL SEGUNDO, CA 90245 | AFLAC | $785 | $46 | $831 | 1.24% |
| TERESA PHILLIPS3 | PO BOX 15084 ANAHEIM, CA 92803 | AFLAC | $550 | $0 | $550 | 0.82% |
| JULIE BRUINSMA3 Filed as: JULIE A BRUINSMA | 11901 SANTA MONICA BLVD #689 LOS ANGELES, CA 90025 | AFLAC | $538 | $0 | $538 | 0.81% |
| SALLY COKER3 Filed as: SALLY I COKER | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | STANDARD INSURANCE COMPANY | $4K | $0 | $4K | 11.17% |
| SALLY COKER3 Filed as: SALLY INGRAM COKER | 38275 N 103RD PL SCOTTSDALE, AZ 85262 | VISION SERVICE PLAN | $1K | $0 | $1K | 4.80% |
| SALLY COKER3 Filed as: SALLY I COKER | 38275 N 103RD PL SCOTTSDALE, AZ 85262 | STANDARD INSURANCE COMPAY | $2K | $0 | $2K | 11.14% |
| SALLY COKER3 Filed as: SALLY INGRAM COKER | 38275 N 103RD PLACE SCOTTSDALE, AZ 85262 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | $0 | $2K | 10.85% |
| SALLY COKER3 Filed as: SALLY I COKER | 38275 N 103RD PL SCOTTSDALE, AZ 85262 | STANDARD INSURANCE COMPANY | $420 | $0 | $420 | 11.31% |
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 | 205 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 142 | $2.0M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 156 | $183K |
| Vision | VISION SERVICE PLAN | 201 | $28K |
| Life insurance | STANDARD INSURANCE COMPANY | 207 | $38K |
| Short-term disability | STANDARD INSURANCE COMPANY | 13 | $4K |
| Long-term disability | STANDARD INSURANCE COMPAY | 207 | $21K |
| Other | AFLAC | 109 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 207 | — |
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."
No prospect flags tripped on this filing.