| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANTHONY M HUSTLER3 | 5862 BOLSA AVE STE 108 HUNTINGTON BEACH, CA 92649 | HEALTH NET | $0 | — | $0 | 0.00% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 5862 BOLSA AVE STE 108 HUNTINGTON BEACH, CA 92649 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $19K | — | $19K | 15.00% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 5862 BOLSA AVE STE 108 HUNTINGTON BEACH, CA 92649 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 5862 BOLSA AVE STE 108 HUNTINGTON BEACH, CA 92649 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 15.00% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 5862 BOLSA AVE STE 108 HUNTINGTON BEACH, CA 92649 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| BOTTOM LINE INSURANCE SVCS LLC3 | 5862 BOLSA AVE STE 108 HUNTINGTON BEACH, CA 92649 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 15.00% |
| BENJAMIN MOSQUEDA3 | 2855 CROCKERY SHORES RD CASNOVIA, MI 49318 | COLONIAL LIFE & ACCIDENT INSUSRANCE COMPANY | $53 | — | $53 | 2.70% |
| JIM BARRETT3 | 8514 EAST KRAIL ST SCTTSDALE, AZ 85250 | COLONIAL LIFE & ACCIDENT INSUSRANCE COMPANY | $18 | — | $18 | 0.92% |
| MICHAEL C WALKER3 Filed as: MICHAEL J MINNEY | PO BOX 365 POWAY, CA 92074 | COLONIAL LIFE & ACCIDENT INSUSRANCE COMPANY | $15 | — | $15 | 0.76% |
| ROBERT ELI WHITNEY3 | 28519 N 123RD LANE PEORIA, AZ 85383 | COLONIAL LIFE & ACCIDENT INSUSRANCE COMPANY | $9 | — | $9 | 0.46% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHONY M HUSTLER PLAN BROKER | Investment advisory (plan) Service code 27 | 5862 BOLSA AVE STE 108 HUNTINGTON BEACH, CA 92649 | $40K |
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 | 1,735 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,735 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 274 | $2.0M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 198 | $129K |
| Life insurance(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 924 | $102K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 924 | $71K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 70 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 924 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.