| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE SUITE 1200 IRVINE, CA 92612 | BLUE CROSS OF CALIFORNIA | $149K | $14K | $163K | 4.08% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DR., SUITE 1200 IRVINE, CA 926120304 | KAISER FOUNDATION HEALTH PLAN INC. | $25K | $2K | $27K | 4.79% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DR. SUITE 1200 IRVINE, CA 926120304 | METROPOLITAN LIFE INSURANCE COMPANY | $47K | $58 | $47K | 10.49% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DR. SUITE 1200 IRVINE, CA 926120304 | METROPOLITAN LIFE INSURANCE COMPANY | — | $9K | $9K | 1.95% |
| BRIAN YERVANT AKIAN3 | 503 SPRINGBROOK NORTH IRVINE, CA 92614 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $437 | $2K | 14.36% |
| BURNHAM BENEFITS INSURANCE SERVICES3 Filed as: BURNHAM BENEFITS INS. SVCS. | 2211 MICHELSON DR. IRVINE, CA 92612 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $862 | — | $862 | 7.93% |
| MICHAEL F FAHEY III3 Filed as: MICHAEL F. FAHEY III | 411 AVENIDA ADOBE SAN CLEMENTE, CA 92672 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $214 | $127 | $341 | 3.14% |
| JOHN D EVANGELISTA3 Filed as: JOHN D. EVENGELISTA | 26111 ANTONIO PARKWAY RANCHO SANTA MARGARITA, CA 92688 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $146 | $88 | $234 | 2.15% |
| BENJAMIN ACEVEDO3 | 16211 E. GROVECENTER ST. COVINA, CA 91722 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | $2 | $23 | 0.21% |
| CONSUMER DRIVEN BENEFITS LLC3 | 3737 BIRCH ST. NEWPORT BEACH, CA 92660 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.02% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE SUITE 1200 IRVINE, CA 926120304 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $453 | $133 | $586 | 7.37% |
| BURNHAM BENEFITS INSURANCE SERVICES3 | 2211 MICHELSON DRIVE, SUITE 1200 IRVINE, CA 92612 | GERBER LIFE INSURANCE COMPANY | $370 | — | $370 | 15.01% |
| PHYLLIS JOY4 | SELZNICK BLITZ 21115 KNIGHTS GLN LAKE FOREST, CA 92630 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $25 | — | $25 | 39.06% |
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 | 434 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 439 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 427 | $4.6M |
| Dental(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 1,240 | $4.5M |
| Vision(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 1,240 | $5.0M |
| Life insurance | BLUE CROSS OF CALIFORNIA | 427 | $4.0M |
| Short-term disability | BLUE CROSS OF CALIFORNIA | 427 | $4.0M |
| Long-term disability | BLUE CROSS OF CALIFORNIA | 427 | $4.0M |
| Other(4 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 427 | $4.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,240 | — |
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."
No prospect flags tripped on this filing.