| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | AETNA HEALTH, INC. | $70K | $7K | $77K | 5.46% |
| PLANSOURCE BENEFITS ADMINISTRATION3 Filed as: PLANSOURCE HOLDINGS, INC. | 101 SOUTH GARLAND AVENUE, SUITE 203 ORLANDO, FL 32801 | AETNA HEALTH, INC. | $9K | — | $9K | 0.65% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | AETNA LIFE INSURANCE COMPANY | $18K | $783 | $19K | 7.68% |
| PLANSOURCE BENEFITS ADMINISTRATION3 Filed as: PLANSOURCE HOLDINGS, INC. | 101 SOUTH GARLAND AVENUE, SUITE 203 ORLANDO, FL 32801 | AETNA LIFE INSURANCE COMPANY | $387 | — | $387 | 0.16% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $65 | $1K | 18.80% |
| MONICA B SCHWARZBLATT3 Filed as: MONICA SCHWARZBLATT AND OTHER AGENT | 623 NORTH CRESCENT DRIVE BEVERLY HILLS, CA 90210 | AFLAC | $60 | — | $60 | 3.69% |
| STEVE CRAIG GOLDSTEIN3 Filed as: STEVE GOLDSTEIN | 1 SOUTH FAIR OAK ROAD, SUITE A437 SANTA CLARITA, CA 91384 | AFLAC | $43 | — | $43 | 2.64% |
| GAIL B. SILVER3 | 265 SOUTH OAKHURST DRIVE BEVERLY HILLS, CA 90212 | AFLAC | $37 | — | $37 | 2.27% |
| STEPHANIE L SANDERS3 Filed as: STEPHANIE L. SANDERS | 27305 LIVE OAK ROAD, SUITE A437 SANTA CLARITA, CA 91384 | AFLAC | $19 | — | $19 | 1.17% |
| KANDI M MCINTYRE3 | 2000 MALLORY LANE, SUITE 130-378 FRANKLIN, TN 37067 | AFLAC | $18 | — | $18 | 1.11% |
| GEOFFREY MALAIS3 | 16800 DEVONSHIRE STREET, SUITE 220 GRANADA HILLS, CA 91344 | AFLAC | $16 | — | $16 | 0.98% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92813 | AFLAC | $15 | — | $15 | 0.92% |
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 | 302 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 6 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 302 | $1.7M |
| Dental | AETNA LIFE INSURANCE COMPANY | 302 | $248K |
| Vision | AETNA LIFE INSURANCE COMPANY | 302 | $248K |
| Short-term disability | AFLAC | 4 | $2K |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 302 | $1.7M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 41 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 302 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.