| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SIMA BERNER REID3 | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | HEALTH NET | $93K | $0 | $93K | 3.97% |
| TWENTYTWENTY INSURANCE SERVICES3 | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | SIRIUS AMERICA INSURANCE CO. | $124K | $0 | $124K | 100.00% |
| ADRIANA MENDIETA3 | 1301 DOVE ST. STE. 340 LAKE ELSINORE, CA 92530 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $37K | $53 | $37K | 47.57% |
| JOHN D EVANGELISTA3 | 26111ANTONIO PKWY RANCHO SANTA MAGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $2K | $193 | $2K | 3.16% |
| SIMA REID3 Filed as: SIMA B. REID | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $1K | $0 | $1K | 1.43% |
| EASTMAN AND ASSOCIATES0 Filed as: EASTMAN AND ASSOC INSURANCE SRVS | 1637 BAYSIDE DR CORONA DEL MAR, CA 92625 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $735 | $0 | $735 | 0.94% |
| GABRIEL HOLGUIN3 | 2807 GRATTON ST. RIVERSIDE, CA 92504 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $352 | $93 | $445 | 0.57% |
| CHARLES D SMITH3 | 4040 E PIEDMONT DRF HIGHLAND, CA 92346 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $298 | $0 | $298 | 0.38% |
| ERIC BROGAN3 Filed as: ERIC SWANSON | 32101 FALL RIVER ROAD TRABUCO CANYON, CA 92679 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $277 | $0 | $277 | 0.35% |
| ALI ALEX ROUSHANZAMIR3 Filed as: ALI ALEX ROUSHANZANMIR | 1639 SPYGLASS DR. CORONA, CA 92883 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $275 | $0 | $275 | 0.35% |
| RYAN THURSTON WHITTAKER3 Filed as: RYAN T WHITTAKER | 33011 COMMODORE CT SAN JUAN CAPO, CA 92675 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $262 | $0 | $262 | 0.34% |
| MIKE MCCORMICK3 | 7 MONSERRAT PL FOOTHILL RANCH, CA 92610 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $237 | $0 | $237 | 0.30% |
| MARIA GONZALEZ3 | 11677 SANDPIPER CT MORENO VALLEY, CA 92557 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $235 | $0 | $235 | 0.30% |
| ASCENSION BENEFITS ADVISORS3 | 6 POMEGRANATE ST LADERA RANCH, CA 92694 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $169 | $0 | $169 | 0.22% |
| SADIE BLACKMON3 | 34 WOODCROSS DR APT. 914 COLUMBIA, SC 29212 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $139 | $0 | $139 | 0.18% |
| STEPHEN W DOUGLASS3 Filed as: STEPHEN W. DOUGLASS | 45 MORNING GLORY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $113 | $2 | $115 | 0.15% |
| UZIEL RIVERA3 | 543 CHEROKEE CIR BANNING, CA 92220 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $89 | $7 | $96 | 0.12% |
| INTREPID3 Filed as: INTREPID SOLUTIONS INSURANCE SERVIC | 1500 QUAIL ST NEWPORT BEACH, CA 92660 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $76 | $0 | $76 | 0.10% |
| MICHAEL JAMES LANCASTER3 Filed as: MICHAEL & LANCASTER | 22365 EL TORO RD LAKE FOREST, CA 92630 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $72 | $0 | $72 | 0.09% |
| MARIA VERONICA JARQUE3 | 8366 VIA SONOMA UNIT E LA JOLLA, CA 92037 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $70 | $0 | $70 | 0.09% |
| MARIA YVONNE RODIGHIERO3 Filed as: MARIA Y RODIGHIERO | 28502 SHRIKE DR LAGUNA NIGUEL, CA 92677 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $70 | $0 | $70 | 0.09% |
| BENEFITS COORDINATOR3 | 29448 TOURS ST LAKE ELISINORE, CA 92530 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $46 | $11 | $57 | 0.07% |
| LIFETIME SOLUTIONS LLC3 | 861 KENWOOD ST UPLAND, CA 91784 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $53 | $0 | $53 | 0.07% |
| LUIS ERNESTO PEREZ3 | 861 KENWOOD ST. UPLAND, CA 91784 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $44 | $0 | $44 | 0.06% |
| BENEFIT COMMUNICATIONS INC3 Filed as: BENEFIT COMMUNICATIONS INC. | 7 MONSERRAT PLACE FOOTHILL RANCH, CA 92610 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $34 | $0 | $34 | 0.04% |
| MARIANNA R WEAVER3 | 1301 DOVE ST STE 340 NEWPORT BEACH, CA 92660 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $33 | $0 | $33 | 0.04% |
| EDWARD J THURIN3 | 19899 RAY AVE RIVERSIDE, CA 92508 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $9 | $0 | $9 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL J MINNEY | P.O. BOX 365 POWAY, CA 92074 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $5 | $0 | $5 | 0.01% |
| MICHAEL F FAHEY III3 Filed as: MICHAEL FAHEY III | 411 AVENIDA ADOBE SAN CLEMENTE, CA 92672 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $5 | $0 | $5 | 0.01% |
| RONALD PERALEZ3 | 18 SEPULVEDA RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | $3 | $0 | $3 | 0.00% |
| SIMA BERNER REID3 | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | RELIANCE STANDARD LIFE INSURANCE CO. | $4K | $0 | $4K | 10.00% |
| SIMA REID3 Filed as: SIMA B. REID | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $6K | $0 | $6K | 15.00% |
| SIMA REID3 Filed as: SIMA B. REID | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $3K | $0 | $3K | 10.00% |
| SIMA REID3 Filed as: SIMA B. REID | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $2K | $0 | $2K | 15.00% |
| SIMA REID3 | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | UDC DENTAL OF CALIFFORNIA, INC. | $1K | $0 | $1K | 10.00% |
| SIMA REID3 Filed as: SIMA B. REID | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $1K | $0 | $1K | 10.00% |
| SIMA REID3 Filed as: SIMA B. REID | 5001 AIRPORT PLAZA DR. STE. 200 LONG BEACH, CA 90815 | THE LINCOLN NATIONAL LIFE INSURANCE CO. | $677 | $0 | $677 | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, INC. | 17901 VAN KARMAN AVE. #1100 IRVINE, CA 926140000 | FEDERAL INSURANCE COMPANY | $264 | $0 | $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 | 0 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UDC DENTAL OF CALIFFORNIA, INC. | 57 | $11K |
| Vision | RELIANCE STANDARD LIFE INSURANCE CO. | 237 | $43K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 383 | $33K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 42 | $15K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE CO. | 34 | $11K |
| Stop-loss / reinsurancereinsurance | SIRIUS AMERICA INSURANCE CO. | 82 | $124K |
| Other(5 contracts, 3 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE CO.. | 383 | $157K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 383 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.