| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MAGNONE FINANCIAL SERVICES CORP3 | 3151 OUTRIGGER AVENUE VENTURA, CA 93001 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $15K | $0 | $15K | 5.82% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 NORTH CENTRAL EXPRESSWAY SUITE 550 PLANO, TX 75074 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $10K | $2K | $11K | 4.35% |
| CELIFLORA THOMPSON3 Filed as: CELIFLORA THOMPSON AND OTHER AGENTS | 4454 TERRA CORCO COURT MERCED, CA 95348 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7K | $1K | $8K | 3.12% |
| KRISTIN LEASE3 | 3890 HOWARD AVENUE LOS ALAMITOS, CA 90720 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $2K | $4K | 1.52% |
| PATRICK LEE CARMICHAEL3 | 5713 PEMBROKE AVENUE BAKERSFIELD, CA 93308 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $48 | $2K | 0.89% |
| SALVADOR HEREDIA3 | 700 EL CAMINITO LIVERMORE, CA 94550 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $422 | $2K | 0.87% |
| JENNIFER GROOT3 | 931 WEST MARSHALL BOULEVARD SAN BERNADINO, CA 92405 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $2 | $2K | 0.59% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF COLORADO, LLC | 4582 SOUTH ULSTER STREET, SUITE 600 DENVER, CO 80237 | BLUE CROSS OF CALIFORNIA | $3K | $0 | $3K | 3.96% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 NORTH CENTRAL EXPRESSWAY SUITE 550 PLANO, TX 75074 | BLUE CROSS OF CALIFORNIA | $2K | $0 | $2K | 2.50% |
| COMMERCIAL INSURANCE ASSOCIATES3 | 103 POWELL STREET, SUITE 200 BRENTWOOD, TN 37027 | BLUE CROSS OF CALIFORNIA | $2K | $0 | $2K | 2.43% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS NL, LLC | 435 WHITTINGTON PARKWAY, SUITE 300 LOUISVILLE, KY 40222 | BLUE CROSS OF CALIFORNIA | $0 | $598 | $598 | 0.68% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF COLORADO, LLC | 4582 SOUTH ULSTER STREET, SUITE 600 DENVER, CO 80237 | SUNLIFE ASSURANCE COMPANY OF CANADA | $5K | $0 | $5K | 6.44% |
| COMMERCIAL INSURANCE ASSOCIATES3 | 103 POWELL STREET, SUITE 200 BRENTWOOD, TN 37027 | SUNLIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 4.84% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 NORTH CENTRAL EXPRESSWAY SUITE 550 PLANO, TX 75074 | SUNLIFE ASSURANCE COMPANY OF CANADA | $2K | $0 | $2K | 2.51% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | SUNLIFE ASSURANCE COMPANY OF CANADA | $622 | $0 | $622 | 0.84% |
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 | 264 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 269 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS OF CALIFORNIA | 280 | $88K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 262 | $338K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 192 | $264K |
| Other(3 contracts, 3 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 280 | $426K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 280 | — |
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.