| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVID STANLEY BARNES3 Filed as: DAVID BARNES | 1036 NORTH TUSTIN AVENUE ANAHEIM, CA 92807 | HEALTH NET | $33K | $0 | $33K | 5.55% |
| DAVID STANLEY BARNES3 | 1036 NORTH TUSTIN AVENUE ANAHEIM, CA 92807 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | $0 | $7K | 8.47% |
| DAVID STANLEY BARNES3 | 1075 NORTH CHEYENNE STREET ORANGE, CA 92869 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | $0 | $1K | 1.43% |
| DAVID STANLEY BARNES3 Filed as: DAVID BARNES | 1036 NORTH TUSTIN AVENUE ANAHEIM, CA 92807 | SYMETRA LIFE INSURANCE COMPANY | $12K | $0 | $12K | 19.90% |
| MJ INSURANCE3 Filed as: DAVID BARNES AND VARIOUS AGENTS | 1036 NORTH TUSTIN AVENUE ANAHEIM, CA 92807 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $696 | $6 | $702 | 5.63% |
| JOHN D EVANGELISTA3 | 151 LAS FLORES ALISO VIEJO, CA 92656 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $394 | $33 | $427 | 3.42% |
| KRISTIN ANN DECOU3 | 751 ROBIN GLEN ROAD BEAUMONT, CA 92223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $56 | $13 | $69 | 0.55% |
| CHARLES D. BLOCK3 Filed as: CHARLES DUANE SMITH | 4040 EAST PIEDMONT DRF HIGHLAND, CA 92346 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $63 | $0 | $63 | 0.51% |
| MARIA C GONZALEZ3 | 11677 SANDPIPER COURT MORENO VALLEY, CA 95227 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | $0 | $22 | 0.18% |
| STEPHEN W DOUGLASS3 | 45 MORNING GLORY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $12 | $0 | $12 | 0.10% |
| ERIC BROGAN3 Filed as: ERIC SWANSON | 23522 VIA ALONDRA TRABUCO CANYON, CA 92679 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.02% |
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 | 395 | 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) | 395 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 191 | $598K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 93 | $80K |
| Vision | HEALTH NET | 191 | $598K |
| Life insurance(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 422 | $74K |
| Prescription drug | HEALTH NET | 191 | $598K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 422 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 422 | — |
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.