| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MIE F. LAM3 | PO BOX 1195 ARCADIA, CA 91077 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 3.52% |
| DAVID HERNANDEZ3 Filed as: DAVID W. ZIEGLER | PO BOX 3194 EL SEGUNDO, CA 90245 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 2.98% |
| MARSHALL MCDONALD3 | 905 LAKE PARK DRIVE APARTMENT 206 DAVIDSON, NC 28038 | CONTINENTAL AMERICAN INSURANCE COMPANY | $615 | $0 | $615 | 1.36% |
| TODD V MASON3 Filed as: TODD V. MASON | 110 PINE AVENUE APARTMENT 3710 LONG BEACH, CA 90802 | CONTINENTAL AMERICAN INSURANCE COMPANY | $262 | $0 | $262 | 0.58% |
| ELIZABETH A LENZO Filed as: ELIZABETH A. LENZO & OTHER AGENTS | 349 EAST CALIFORNIA BOULEVARD PASADENA, CA 91106 | CONTINENTAL AMERICAN INSURANCE COMPANY | $138 | $0 | $138 | 0.31% |
| JOANNA G MATHERLY3 Filed as: JOANNA G. PEOPLE | 2000 GLEN ECHO ROAD SUITE 204 NASHVILLE, TN 37215 | CONTINENTAL AMERICAN INSURANCE COMPANY | $66 | $0 | $66 | 0.15% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH A. BUZZELLO | 9018 BALBOA BOULEVARD SUITE 254 NORTHRIDGE, CA 91325 | CONTINENTAL AMERICAN INSURANCE COMPANY | $57 | $0 | $57 | 0.13% |
| MIU FONG LAM3 Filed as: MIU LAM | PO BOX 1195 ARCADIA, CA 91077 | AFLAC | $756 | $0 | $756 | 6.48% |
| MJ INSURANCE3 Filed as: AUBREY THOMAS AND VARIOUS AGENTS | 32627 THE OLD ROAD CASTAIC, CA 91384 | AFLAC | $247 | $0 | $247 | 2.12% |
| MARSHALL MCDONALD3 | 415 DAVIDSON GATEWAY DRIVE APARTMENT 7 DAVIDSON, NC 28036 | AFLAC | $129 | $0 | $129 | 1.11% |
| SHANNYN ZIEGLER3 | PO BOX 3194 EL SEGUNDO, CA 90245 | AFLAC | $73 | $0 | $73 | 0.63% |
| ALBERT JOHNSON JR3 | 1255 EAST ALTADENA DRIVE ALTADENA, CA 91001 | AFLAC | $69 | $0 | $69 | 0.59% |
| HOWARD FEIGENBAUM3 | 460 TEWELL DRIVE HEMET, CA 92545 | AFLAC | $60 | $0 | $60 | 0.51% |
| JOSEPH A BUZZELLO3 Filed as: JOSEPH BUZZELLO | 9018 BALBOA BOULEVARD SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $54 | $0 | $54 | 0.46% |
| MJ INSURANCE3 Filed as: TOMMY TAM AND VARIOUS AGENTS | 418 EAST 74TH STREET SUITE 1B NEW YORK, NY 10021 | AFLAC | $106 | $0 | $106 | 2.20% |
| CHRISTY DAY ASSOCIATES LLC3 Filed as: CHRISTY DAY ASSOCIATES, LLC | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $96 | $0 | $96 | 1.99% |
| PHILIP TSANG3 | 25 FERNDALE COURT STATEN ISLAND, NY 10314 | AFLAC | $47 | $0 | $47 | 0.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: KEVIN GALLAGHER | 173 GELSTON AVENUE SUITE 3D BROOKLYN, NY 11209 | AFLAC | $37 | $0 | $37 | 0.77% |
| PATRICK RUHLE3 Filed as: PATRICK HARDIE | 14 WALL STREET SUITE 8C NEW YORK, NY 10005 | AFLAC | $37 | $0 | $37 | 0.77% |
| KENNETH C MEIER CORP3 Filed as: KENNETH C. MEIER CORP | 401 FRANKLIN AVENUE SUITE 312 GARDEN CITY, NY 11530 | AFLAC | $35 | $0 | $35 | 0.73% |
| TREVOR FENNELL3 | 11835 QUEENS BOULEVARD SUITE 1403 FOREST HILLS, NY 11375 | AFLAC | $31 | $0 | $31 | 0.64% |
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 | 151 | 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) | 151 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | AFLAC | 323 | $5K |
| Other(3 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 323 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 323 | — |
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.