| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SIMA BERNER REID3 | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | HEALTH NET | $90K | $0 | $90K | 4.00% |
| SIMA REID3 Filed as: SIMA B REID | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | SYMETRA LIFE INSURANCE COMPANY | $11K | — | $11K | 8.00% |
| EASTMAN AND ASSOCIATES3 Filed as: EASTMAN AND ASSOC INSURANCE SRVS | 1637 BAYSIDE DR CORONA DEL MAR, CA 92625 | COLONIAL LIFE AND ACCIDENT INS CO | $812 | — | $812 | 0.91% |
| SIMA BERNER REID3 | 5001 AIRPORT PLAZA DR STE. 200 LONG BEACH, CA 90815 | COLONIAL LIFE AND ACCIDENT INS CO | $679 | — | $679 | 0.76% |
| ADRIANA MENDIETA3 | 29448 TOURS ST LAKE ELSINORE, CA 92530 | COLONIAL LIFE AND ACCIDENT INS CO | $433 | $82 | $515 | 0.58% |
| CHARLES D SMITH3 | 4040 EAST PIEDMONT DR HIGHLAND, CA 92346 | COLONIAL LIFE AND ACCIDENT INS CO | $429 | $6 | $435 | 0.49% |
| UZIEL RIVERA3 | 543 CHEROKEE CIRCLE BANNING, CA 92220 | COLONIAL LIFE AND ACCIDENT INS CO | $334 | $86 | $420 | 0.47% |
| MARIA C GONZALEZ3 | 11677 SANDPIPER CT MORENO VALLEY, CA 92557 | COLONIAL LIFE AND ACCIDENT INS CO | $328 | $8 | $336 | 0.38% |
| LUIS ERNESTO PEREZ3 Filed as: LUIS E. PEREZ | 861 KENWOOD ST UPLAND, CA 91784 | COLONIAL LIFE AND ACCIDENT INS CO | $304 | $27 | $331 | 0.37% |
| ERIC BROGAN3 Filed as: ERIC SWANSON | 32101 FALL RIVER ROAD TRABUCO CANYON, CA 92679 | COLONIAL LIFE AND ACCIDENT INS CO | $300 | — | $300 | 0.34% |
| RYAN THURSTON WHITTAKER3 Filed as: RYAN T WHITTAKER | 33011 COMMODORE CT SAN JUAN CAPO, CA 92675 | COLONIAL LIFE AND ACCIDENT INS CO | $285 | — | $285 | 0.32% |
| MIKE MCCORMICK3 | 348 S. STRONGS CT SALT LAKE CITY, UT 84102 | COLONIAL LIFE AND ACCIDENT INS CO | $253 | $1 | $254 | 0.29% |
| JOHN D EVANGELISTA3 Filed as: JOHN D. EVANELISTA | 26111 ANTONIO PARKWAY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE AND ACCIDENT INS CO | $213 | — | $213 | 0.24% |
| ASCENSION BENEFITS ADVISORS3 | 6 POMEGRANATE ST LADERA RANCH, CA 92694 | COLONIAL LIFE AND ACCIDENT INS CO | $183 | — | $183 | 0.21% |
| SADIE BLACKMON3 | 627 RAPIDS RD COLUMBIA, SC 29212 | COLONIAL LIFE AND ACCIDENT INS CO | $167 | — | $167 | 0.19% |
| STEPHEN W DOUGLASS3 | 45 MORNING GLORY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE AND ACCIDENT INS CO | $97 | $2 | $99 | 0.11% |
| MARIA YVONNE RODIGHIERO3 Filed as: MARIA Y RODIGHIERO | 28502 SHRIKE DR. LAGUNA NIGUEL, CA 92677 | COLONIAL LIFE AND ACCIDENT INS CO | $76 | — | $76 | 0.09% |
| WALTOS INSURANCE SERVICES3 | 1500 QUAIL ST NEWPORT BEACH, CA 92660 | COLONIAL LIFE AND ACCIDENT INS CO | $73 | — | $73 | 0.08% |
| MICHAEL JAMES LANCASTER3 Filed as: MICHAEL J LANCASTER | 22365 EL TORO RD LAKE FOREST, CA 92630 | COLONIAL LIFE AND ACCIDENT INS CO | $69 | $1 | $70 | 0.08% |
| MARIA VERONICA JARQUE3 Filed as: MARIA V. JARQUE | 8366 VIA SONOMA UNIT E LA JOLLA, CA 92037 | COLONIAL LIFE AND ACCIDENT INS CO | $64 | — | $64 | 0.07% |
| MARIANNA R WEAVER3 Filed as: MARIANNA R. WEAVER | 18301 VON KARMAN AVE. IRVINE, CA 92612 | COLONIAL LIFE AND ACCIDENT INS CO | $33 | — | $33 | 0.04% |
| ARIADNE DE BASABE-MACHICHE3 | 1102 NIMROD CIRCLE CORONA, CA 92880 | COLONIAL LIFE AND ACCIDENT INS CO | $32 | — | $32 | 0.04% |
| BENEFIT COMMUNICATIONS INC3 | 7 MONSERRAT PL FOOTHILL RANCH, CA 92610 | COLONIAL LIFE AND ACCIDENT INS CO | $32 | — | $32 | 0.04% |
| EDWARD J THURIN3 | 17800 BRAZIER RD RIVERSIDE, CA 92508 | COLONIAL LIFE AND ACCIDENT INS CO | $9 | — | $9 | 0.01% |
| GABRIEL HOLGUIN3 | 26342 FOREST BRIDGE DR LAKE FOREST, CA 92630 | COLONIAL LIFE AND ACCIDENT INS CO | $6 | — | $6 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL J MINNEY | P.O. BOX 365 POWAY, CA 92074 | COLONIAL LIFE AND ACCIDENT INS CO | $5 | — | $5 | 0.01% |
| MICHAEL F FAHEY III3 Filed as: MICHAEL F FAHEY | 411 AVENIDA ADOBE SAN CLEMENTE, CA 92672 | COLONIAL LIFE AND ACCIDENT INS CO | $5 | $0 | $5 | 0.01% |
| RONALD PERALEZ3 | 18 SEPULVEDA RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE AND ACCIDENT INS CO | $4 | — | $4 | 0.00% |
| SIMA REID3 | 5001 AIRPORT PLAZA DR STE. 200 LONG BEACH, CA 90815 | RELIANCE STANDARD LIFE INS. CO. | $4K | $0 | $4K | 10.00% |
| SIMA REID3 Filed as: SIMA B REID | 5001 AIRPORT PLAZA DR STE. 200 LONG BEACH, CA 90815 | LINCOLN NATIONAL LIFE INS. CO. | $7K | — | $7K | 18.05% |
| SIMA REID3 Filed as: SIMA B. REID | 5001 AIRPORT PLAZA DR STE. 200 LONG BEACH, CA 90815 | LINCOLN NATIONAL LIFE INS. CO. | $5K | — | $5K | 13.07% |
| SIMA REID3 | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | UDC DENTAL OF CALIFORNIA, INC. | $2K | — | $2K | 10.00% |
| SIMA REID3 | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $3K | — | $3K | 18.40% |
| SIMA REID3 | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $1K | — | $1K | 12.76% |
| SIMA REID3 Filed as: SIMA B REID | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | LINCOLN NATIONAL LIFE INSURANCE CO. | $935 | — | $935 | 17.60% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, INC | 17901 VAN KARMAN AVE STE1100 IRVINE, CA 92614 | FEDERAL INSURANCE COMPANY | $264 | — | $264 | 15.00% |
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 | 432 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 432 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 287 | $2.2M |
| Dental | UDC DENTAL OF CALIFORNIA, INC. | 74 | $15K |
| Vision | RELIANCE STANDARD LIFE INS. CO. | 255 | $45K |
| Life insurance | LINCOLN NATIONAL LIFE INS. CO. | 432 | $35K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 48 | $15K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 37 | $11K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 78 | $142K |
| Other(6 contracts, 4 carriers) | COLONIAL LIFE AND ACCIDENT INS CO | 432 | $186K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 432 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.