| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $21 | $12K | 10.20% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.92% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | UNKNOWN POMONA, CA 91766 | ARMADACARE | $1K | $0 | $1K | 1.80% |
| TIM CHRISTOPHER ELLIS3 | PO BOX 483 ORANGE, CA 92856 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 4.52% |
| PANORAMA RISK & INSURANCE SOLUTIONS3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 4.34% |
| MJ INSURANCE3 Filed as: ERIC A NOVOA AND VARIOUS AGENTS | 17871 SHADY VIEW DRIVE CHINO HILLS, CA 91709 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $217 | $2K | 3.74% |
| TAMMY LYNN RANAHAN3 | 26337 ARBORETUM WAY MURRIETA, CA 92563 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $12 | $1K | 2.30% |
| DANIEL D NELSON3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $750 | $0 | $750 | 1.48% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | SHOREPOINT INSURANCE SERVICE COSTA MESA, CA 92626 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $699 | $0 | $699 | 1.37% |
| BENEFITS EXCHANGE ALLIANCE3 Filed as: BENEFITS EXCHANGE ALLIANCE INC | 6083 NORTH FIGGARDEN DRIVE FRESNO, CA 93722 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $536 | $0 | $536 | 1.05% |
| TIM CHRISTOPHER ELLIS3 | PO BOX 483 ORANGE, CA 92856 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $0 | $3K | 7.41% |
| MJ INSURANCE3 Filed as: BENEFITS EXCHANGE & VARIOUS AGENTS | 6083 NORTH FIGGARDEN DRIVE FRESNO, CA 93722 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $161 | $2K | 4.01% |
| TAMMY LYNN RANAHAN3 | 26337 ARBORETUM WAY MURRIETA, CA 92563 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $15 | $1K | 3.54% |
| PANORAMA RISK & INSURANCE SOLUTIONS3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $973 | $0 | $973 | 2.38% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | SHOREPOINT INSURANCE SERVICE COSTA MESA, CA 92626 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $531 | $0 | $531 | 1.30% |
| UZIEL RIVERA3 | 1267 SILVER TORCH DRIVE BEAUMONT, CA 92223 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $392 | $123 | $515 | 1.26% |
| DANIEL D NELSON3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $359 | $0 | $359 | 0.88% |
| PANORAMA RISK & INSURANCE SOLUTIONS3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 4.40% |
| MJ INSURANCE3 Filed as: UZIEL RIVERA AND VARIOUS AGENTS | 1267 SILVER TORCH DRIVE BEAUMONT, CA 92223 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 3.56% |
| TIM CHRISTOPHER ELLIS3 | PO BOX 483 ORANGE, CA 92856 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 3.32% |
| DANIEL D NELSON3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $552 | $264 | $816 | 2.52% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | SHOREPOINT INSURANCE SERVICE COSTA MESA, CA 92626 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $593 | $0 | $593 | 1.83% |
| BENEFITS EXCHANGE ALLIANCE3 Filed as: BENEFITS EXCHANGE ALLIANCE INC | 6083 NORTH FIGGARDEN DRIVE FRESNO, CA 93722 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $452 | $0 | $452 | 1.40% |
| TAMMY LYNN RANAHAN3 | 26337 ARBORETUM WAY MURRIETA, CA 92563 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $314 | $2 | $316 | 0.98% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | 3390 UNIVERSITY AVENUE, SUITE 300 RIVERSIDE, CA 92501 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $1K | $0 | $1K | 9.74% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS. SVCS., INC. | PO BOX 2158 RIVERSIDE, CA 92516 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $0 | $155 | $155 | 1.11% |
| TIM CHRISTOPHER ELLIS3 | PO BOX 483 ORANGE, CA 92856 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $0 | $1K | 10.18% |
| MARGARITA ALEJANDRA RAMIREZ3 | 1356 CALLE COLNETT SAN MARCOS, CA 92069 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $643 | $220 | $863 | 6.77% |
| PANORAMA RISK & INSURANCE SOLUTIONS3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $459 | $0 | $459 | 3.60% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA AND AGENTS | SHOREPOINT INSURANCE SERVICE COSTA MESA, CA 92626 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $408 | $16 | $424 | 3.33% |
| TAMMY LYNN RANAHAN3 | 26337 ARBORETUM WAY MURRIETA, CA 92563 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $210 | $2 | $212 | 1.66% |
| DANIEL D NELSON3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $171 | $0 | $171 | 1.34% |
| GCG FINANCIAL LLC3 Filed as: TERRANCE HUGH DICKERSON | 1916 ORANGE TREE LANE REDLANDS, CA 92374 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $163 | $3 | $166 | 1.30% |
| PANORAMA RISK & INSURANCE SOLUTIONS3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $396 | $0 | $396 | 4.95% |
| MJ INSURANCE3 Filed as: TAMMY L RANAHAN AND VARIOUS AGENTS | 26337 ARBORETUM WAY MURRIETA, CA 92563 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $240 | $25 | $265 | 3.31% |
| TIM CHRISTOPHER ELLIS3 | PO BOX 483 ORANGE, CA 92856 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $179 | $0 | $179 | 2.24% |
| DANIEL D NELSON3 | 8753 EAST BELL ROAD, SUITE 110 SCOTTSDALE, AZ 85260 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $176 | $0 | $176 | 2.20% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | SHOREPOINT INSURANCE SERVICE COSTA MESA, CA 92626 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $85 | $0 | $85 | 1.06% |
| UZIEL RIVERA3 | 1267 SILVER TORCH DRIVE BEAUMONT, CA 92223 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $70 | $13 | $83 | 1.04% |
| BENEFITS EXCHANGE ALLIANCE3 Filed as: BENEFITS EXCHANGE ALLIANCE INC | 6083 NORTH FIGGARDEN DRIVE FRESNO, CA 93722 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $80 | $0 | $80 | 1.00% |
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 | 228 | 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) | 228 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ARMADACARE | 8 | $70K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $130K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $116K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $116K |
| Prescription drug | ARMADACARE | 8 | $70K |
| Other(6 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $261K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 447 | — |
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.