| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEPHANIE J SCHLAF3 Filed as: STEPHANIE JEAN SCHLAF | 1081 SOUTH REXFORD LANE ANAHEIM HILLS, CA 92808 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33K | $0 | $33K | 19.85% |
| THOMPSON & ASSOCIATES INSURANCE INC3 Filed as: THOMPSON AND ASSOC. INSURANCE, INC. | 2743 SOUTH SANDPIPER AVENUE ONTARIO, CA 91761 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4K | $0 | $4K | 2.71% |
| PATRICK J SCHLAF3 Filed as: PATRICK JOSEPH SCHLAF | 1081 SOUTH REXFORD LANE ANAHEIM HILLS, CA 92808 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 1.67% |
| JONATHAN ALI HAJIMOMEN3 | 6540 GRAND MANAN CYPRESS, CA 90630 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 1.64% |
| JULIE L WOLD3 Filed as: JULIE LYN WOLD | 7720 EAST MOONRIDGE LANE ANAHEIM HILLS, CA 92808 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | $0 | $3K | 1.54% |
| KEN MAJOR3 | 9622 OLYMPIC DRIVE HUNTINGTON BEACH, CA 92646 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | $0 | $2K | 1.07% |
| NEAL R HACKETT3 Filed as: NEAL R. HACKETT AND OTHER AGENTS | 4078 IVEY VISTA WAY OCEANSIDE, CA 92057 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | $0 | $1K | 0.70% |
| PATRICK J SCHLAF3 Filed as: PATRICK J. SCHLAF | 155 NORTH RIVERVIEW DRIVE ANAHEIM, CA 92808 | AFLAC | $917 | $0 | $917 | 3.68% |
| STEPHANIE J SCHLAF3 Filed as: STEPHANIE J. SCHLAF | 155 NORTH RIVERVIEW DRIVE ANAHEIM, CA 92808 | AFLAC | $421 | $0 | $421 | 1.69% |
| DUANE A ADAMS3 Filed as: DUANE ANDREW FRY | 3707 ANITA AVENUE PASADENA, CA 91107 | AFLAC | $380 | $0 | $380 | 1.52% |
| JASON N DOIG3 Filed as: JASON N. DOIG AND OTHER AGENTS | 1260 WEST ADAMS BOULEVARD LOS ANGELES, CA 90007 | AFLAC | $318 | $0 | $318 | 1.28% |
| DOUGLAS F FINCH3 Filed as: DOUGLAS F. FINCH | 78479 STERLING LANE PALM DESERT, CA 92211 | AFLAC | $293 | $0 | $293 | 1.18% |
| KEN MAJOR3 Filed as: KEN L. MAJOR | 2211 MICHELSON DRIVE, SUITE 1150 IRVINE, CA 92612 | AFLAC | $117 | $0 | $117 | 0.47% |
| TERRANCE M LUCZAJ3 Filed as: TERRANCE M. LUCZAJ | 27 DIETES COURT LADERA RANCH, CA 92694 | AFLAC | $45 | $0 | $45 | 0.18% |
| KADIE KARCHER4 | 6240 CAPE COD LANE YORBA LINDA, CA 92887 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $4K | $0 | $4K | 17.33% |
| TERRENCE J. FITCH4 | 9256 SVL BOX VICTORVILLE, CA 92395 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $82 | $0 | $82 | 0.39% |
| PAVEZ INSURANCE AGENCY3 Filed as: PAVEZ INSURANCE AGENCY, INC. | 2275 SOUTH MAIN STREET, SUITE 101 CORONA, CA 92882 | TRUSTMARK INSURANCE COMPANY | $203 | $0 | $203 | 2.86% |
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 | 2,593 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 48 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,645 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,618 | $507K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,618 | $500K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 17 | $21K |
| Other(4 contracts, 4 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,618 | $710K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,618 | — |
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.