| 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 | $112K | $112K | 2.89% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $24K | $0 | $24K | 10.00% |
| CHRISTINA ANNE LEININGER3 Filed as: CHRISTINA LEININGER | 27636 FALKIRK MISSION VIEJO, CA 92691 | AFLAC | $17K | $1K | $18K | 8.15% |
| MJ INSURANCE3 Filed as: JASON MCALISTER AND VARIOUS AGENTS | 13655 ESPLANADE AVENUE SANTA ANA, CA 92705 | AFLAC | $10K | $0 | $10K | 4.35% |
| KATHLEEN LEININGER INS SERVICES INC3 Filed as: KATHLEEN LEININGER INS | 13655 NIMES COURT CHINO HILLS, CA 91709 | AFLAC | $5K | $143 | $6K | 2.47% |
| SHANNON MARK DIXON3 Filed as: SHANNON DIXON | 348 12TH STREET, APARTMENT 3 SEAL BEACH, CA 90740 | AFLAC | $5K | $150 | $6K | 2.47% |
| KEN MAJOR3 | 2211 MICHELSON DRIVE, SUITE 1150 IRVINE, CA 92612 | AFLAC | $4K | $220 | $4K | 1.70% |
| AMANDA ESCARZAGA3 | 7585 SUNNY RIDGE LOOP HIGHLAND, CA 92346 | AFLAC | $3K | $27 | $3K | 1.37% |
| RYAN RUSSELL VORELL3 Filed as: RYAN VORELL | 24461 PEACOCK STREET LAKE FOREST, CA 92630 | AFLAC | $3K | $18 | $3K | 1.25% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $13 | $14K | 7.32% |
| 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 | 2.47% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 15901 RED HILL AVENUE TUSTIN, CA 92780 | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | $360 | $0 | $360 | 0.78% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $2K | $0 | $2K | 7.29% |
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 | 467 | 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) | 468 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS SERVICE | 559 | $3.9M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 352 | $221K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 1,319 | $46K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 478 | $236K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 478 | $459K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 478 | $236K |
| Prescription drug | CALIFORNIA PHYSICIANS SERVICE | 559 | $3.9M |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 504 | $522K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,319 | — |
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.