| 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 | $83K | $83K | 3.09% |
| CHRISTINA ANNE LEININGER3 | 8880 BENSON AVENUE, SUITE106 MONTCLAIR, CA 91763 | AFLAC | $8K | $181 | $8K | 4.72% |
| K. LEININGER INS. SERVICES INC3 | 13655 NIMES COURT CHINO HILLS, CA 91709 | AFLAC | $6K | $420 | $7K | 4.10% |
| MJ INSURANCE3 Filed as: DIANA HOMA AND VARIOUS AGENTS | PO BOX 5832 GARDEN GROVE, CA 92846 | AFLAC | $5K | $271 | $5K | 3.26% |
| KEN MAJOR3 Filed as: KEN L. MAJOR | 2211 MICHELSON DRIVE, SUITE 1150 IRVINE, CA 92612 | AFLAC | $2K | $178 | $2K | 1.12% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYES GROUP INC | 2 PARK PLAZA, SUITE 440 IRVINE, CA 92614 | AFLAC | $1K | $0 | $1K | 0.67% |
| DOUGLAS J SUCHECKI3 Filed as: DOUGLAS J. SUCHECKI | 1224 PEACOCK AVENUE, SUITE 205 COLUMBUS, GA 31906 | AFLAC | $946 | $0 | $946 | 0.57% |
| TIFFANY ANNE KING3 | 1010 LAKE STREET, SUITE 430 OAK PARK, IL 60301 | AFLAC | $689 | $0 | $689 | 0.41% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | DENTAL HEALTH SERVICES | $15K | $0 | $15K | 9.32% |
| 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 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $1K | $0 | $1K | 3.49% |
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 | 404 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 406 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS SERVICE | 471 | $2.7M |
| Dental | DENTAL HEALTH SERVICES | 520 | $160K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 549 | $42K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 317 | $159K |
| Short-term disability(2 contracts, 2 carriers) | AFLAC | 317 | $326K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 317 | $159K |
| Prescription drug | CALIFORNIA PHYSICIANS SERVICE | 471 | $2.7M |
| Other(3 contracts, 3 carriers) | AFLAC | 402 | $381K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 549 | — |
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.