| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | CALIFORNIA PHYSICIANS SERVICE | $0 | $86K | $86K | 3.20% |
| KATHLEEN LEININGER INS SERVICES INC3 Filed as: KATHLEEN LEININGER INSURANCE SRVCS | 8880 BENSON AVENUE, SUITE 106 MONTCLAIR, CA 91763 | AFLAC | $16K | $3K | $19K | 8.71% |
| DOUGLAS H CRAWFORD JR3 Filed as: DOUGLAS SUCHECKI AND MISC. AGENTS | 1224 PEACOCK AVENUE, SUITE 205 COLUMBUS, GA 31906 | AFLAC | $11K | $493 | $11K | 5.35% |
| CHRISTINA ANNE LEININGER3 | 880 BENSON AVENUE, SUISTE 106 MONTCLAIR, CA 91763 | AFLAC | $6K | $211 | $6K | 2.90% |
| KEN MAJOR3 Filed as: KEN L MAJOR | 2211 MICHELSON DRIVE SUITE 1150 IRVINE, CA 92612 | AFLAC | $3K | $272 | $4K | 1.75% |
| DIANA HOMA3 | 880 BENSON AVENUE, SUITE 106 MONTCLAIR, CA 91763 | AFLAC | $2K | $123 | $2K | 1.12% |
| REGINA MARES3 | 16250 HOMECOMING DRIVE, SUITE 1302 CHINO, CA 91708 | AFLAC | $2K | $0 | $2K | 0.80% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 2 PARK PLAZA, SUITE 440 IRVINE, CA 92614 | AFLAC | $1K | $0 | $1K | 0.68% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $16K | $0 | $16K | 10.00% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | DENTAL HEALTH SERVICES | $13K | $0 | $13K | 8.51% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $1K | $0 | $1K | 3.00% |
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 | 402 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 403 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS SERVICE | 486 | $2.7M |
| Dental | DENTAL HEALTH SERVICES | 507 | $153K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 548 | $43K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 320 | $157K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 320 | $369K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 320 | $157K |
| Prescription drug | CALIFORNIA PHYSICIANS SERVICE | 486 | $2.7M |
| Other(3 contracts, 3 carriers) | AFLAC | 415 | $424K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 548 | — |
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.