| 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 | $94K | $94K | 3.16% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $18K | $0 | $18K | 10.00% |
| CHRISTINA ANNE LEININGER3 Filed as: CHRISTINA LENINGER | 27636 FALKIRK MISSION VIEJO, CA 92691 | AFLAC | $12K | $399 | $13K | 7.15% |
| KATHLEEN LEININGER INS SERVICES INC3 Filed as: KATHLEEN LENINGER INS. SERVICES INC | 46955 NIMES COURT CHINO HILLS, CA 91709 | AFLAC | $6K | $104 | $7K | 3.70% |
| MJ INSURANCE3 Filed as: TIFFANY KING AND VARIOUS AGENTS | 1010 LAKE STREET, SUITE 430 OAK PARK, IL 60301 | AFLAC | $5K | $0 | $5K | 3.10% |
| KEN MAJOR3 | 2211 MICHELSON DRIVE, SUITE 1150 IRVINE, CA 92612 | AFLAC | $2K | $93 | $2K | 1.32% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES INC | 2321 ROSECRANS AVENUE, SUITE 2240 EL SEGUNDO, CA 90245 | AFLAC | $1K | $0 | $1K | 0.58% |
| RYAN RUSSELL VORELL3 Filed as: RYAN VORELL | 24461 PEACOCK STREET LAKE FOREST, CA 92630 | AFLAC | $1K | $0 | $1K | 0.57% |
| DOUG SUCHECKI3 | 21 HEARTWOOD DRIVE CATALUA, GA 31804 | AFLAC | $958 | $0 | $958 | 0.54% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | DENTAL HEALTH SERVICES | $15K | $0 | $15K | 8.53% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 15901 RED HILL AVENUE TUSTIN, CA 92780 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $956 | $0 | $956 | 2.25% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $310 | $0 | $310 | 0.73% |
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 | 469 | 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) | 470 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS SERVICE | 507 | $3.0M |
| Dental | DENTAL HEALTH SERVICES | 544 | $170K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 578 | $42K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 362 | $177K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 362 | $353K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 362 | $177K |
| Prescription drug | CALIFORNIA PHYSICIANS SERVICE | 507 | $3.0M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 507 | $413K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 578 | — |
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.