| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | BLUE SHIELD OF CALIFORNIA | $146K | $11K | $156K | 5.37% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC | 701 B ST FL 6 SAN DIEGO, CA 92101 | BLUE SHIELD OF CALIFORNIA | — | $115 | $115 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FL SAN DIEGO, CA 92101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FL SAN DIEGO, CA 92112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $424 | $424 | 0.70% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FL SAN DIEGO, CA 92101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FL SAN DIEGO, CA 92112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $245 | $245 | 0.65% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, INC | 701 B ST FL 6 SAN DIEGO, CA 921018156 | VSP VISION SERVICE PLAN | $2K | — | $2K | 7.60% |
| ROYAL J MARTIN INS AGENCY INC Filed as: ROYAL J. MARTIN INSURANCE AGENCY | 10148 RIVERSIDE DR. TOLUKA LAKE, CA 916022532 | VSP VISION SERVICE PLAN | $563 | — | $563 | 1.90% |
| STEVE D SERVI3 | 1451 W CYPRESS CREEK RD STE 300 FT. LAUDERDALE, FL 33309 | AFLAC | $575 | — | $575 | 3.16% |
| ROYAL J MARTIN INS AGENCY INC3 | 10148 RIVERSIDE DR NORTH HOLLYWOOD, CA 91602 | AFLAC | $471 | — | $471 | 2.59% |
| PATRICIA GAIL LEES3 | 6055 E WASHINGTON BLVD STE 955 COMMERCE, CA 90040 | AFLAC | $302 | — | $302 | 1.66% |
| LUZ ELENA SERVI3 | 1451 W. CYPRESS CREEK RD. STE 300 FT. LAUDERDALE, FL 33309 | AFLAC | $173 | — | $173 | 0.95% |
| FILIBERTO PARTIDA3 | 16884 WEGMAN DR LA PUENTE, CA 91744 | AFLAC | $75 | — | $75 | 0.41% |
| STEVE D SERVI3 Filed as: STEVE D. SERVI | PO BOX 5022 POMPANO BEACH, FL 33074 | AFLAC | $70 | — | $70 | 0.38% |
| JAIME PUERTA3 Filed as: JAIME I PUERTA | 28443 SANTA CATARINA RD SANTA CLARITA, CA 91350 | AFLAC | $63 | — | $63 | 0.35% |
| ERICA GOLDEN3 Filed as: ERICA R GOLDEN | 430 W. HARVARD ST. APT C GLENDALE, CA 91204 | AFLAC | $56 | — | $56 | 0.31% |
| BARRY MCPHERSON INC3 | 2211 MICHELSON DR. STE 1150 IRVINE, CA 92612 | AFLAC | $43 | — | $43 | 0.24% |
| DAVID J LAWTON3 | 12212 DOLAND AVE DOWNEY, CA 90242 | AFLAC | $31 | — | $31 | 0.17% |
| DIANA PAREDES3 | 3630 E 61ST ST HUNTINGTON PARK, CA 90255 | AFLAC | $23 | — | $23 | 0.13% |
| RENE A AVILES3 | 773 WINDWOOD DR WALNUT, CA 91789 | AFLAC | $22 | — | $22 | 0.12% |
| LUZ ELENA SERVI3 | PO BOX 5022 POMPANO BEACH, FL 33074 | AFLAC | $19 | — | $19 | 0.10% |
| EVA PICONE3 | 16603 E. BENBOW ST. COVINA, CA 91722 | AFLAC | $18 | — | $18 | 0.10% |
| ALEXANDER C MATTHES3 | PO BOX 80093 SAN MARINO, CA 91118 | AFLAC | $15 | — | $15 | 0.08% |
| LYDIA L FLORES3 | 8932 SAN ANTONIO AVE SOUTH GATE, CA 90280 | AFLAC | $9 | — | $9 | 0.05% |
| ERICA GOLDEN3 Filed as: ERICA R. GOLDEN | 847 N. HOLLYWOOD WAY, SUITE 204 BURBANK, CA 91505 | AFLAC | $6 | — | $6 | 0.03% |
| BERNADETTE C WEBSTER3 Filed as: BERNADETTE C. WEBSTER | 913 E. MOBECK ST. APT A WEST COVINA, CA 91790 | AFLAC | $4 | — | $4 | 0.02% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SVCS INC | 333 SOUTH HOPE ST SUITE 3750 LOS ANGELES, CA 90071 | HARTFORD LIFE AND ACCIDENT | $720 | — | $720 | 5.00% |
| STEVE D SERVI3 | 2349 SALEROSO DR ROWLAND HEIGHTS, CA 91748 | CONTINENTAL AMERICAN INSURANCE COMPANY | $322 | — | $322 | 2.39% |
| PATRICIA GAIL LEES3 Filed as: PATRICIA G. LEES | 1124 CHURCHS CT BURBANK, CA 91501 | CONTINENTAL AMERICAN INSURANCE COMPANY | $154 | — | $154 | 1.14% |
| LUZ ELENA SERVI3 Filed as: LUZ E SERVI | 2349 SALEROSO DR ROWLAND HEIGHTS, CA 91748 | CONTINENTAL AMERICAN INSURANCE COMPANY | $113 | — | $113 | 0.84% |
| ROYAL J MARTIN INS AGENCY INC3 Filed as: ROYAL J. MARTIN INS AGCY INC | 10148 RIVERSIDE DR. NORTH HOLLYWOOD, CA 91602 | CONTINENTAL AMERICAN INSURANCE COMPANY | $96 | — | $96 | 0.71% |
| KENNETH B MCPHERSON3 | 3 ROSELEAF IRVINE, CA 92620 | CONTINENTAL AMERICAN INSURANCE COMPANY | $63 | — | $63 | 0.47% |
| GLADYS N VIDES3 | 6055 EAST WASHINGTON BLVD 460 COMMERCE, CA 91722 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 0.19% |
| FILIBERTO PARTIDA3 | 16884 WEGMAN DRIVE LA PUENTE, CA 91744 | CONTINENTAL AMERICAN INSURANCE COMPANY | $20 | — | $20 | 0.15% |
| DIANA PAREDES3 | 6055 E WASHINGTON BLVD STE 590 COMMERCE, CA 90040 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.13% |
| DAVID J LAWTON3 Filed as: DAVID J. LAWTON | 6055 E. WASHINGTON LBVD. STE 590 COMMERCE, CA 90040 | CONTINENTAL AMERICAN INSURANCE COMPANY | $15 | — | $15 | 0.11% |
| OWEN JOHNSTON3 | 796 N. HART STREET ORANGE, CA 92867 | CONTINENTAL AMERICAN INSURANCE COMPANY | $14 | — | $14 | 0.10% |
| ERICA GOLDEN3 Filed as: ERICA R GOLDEN | 430 WEST HARVARD STREET APT C GLENDALE, CA 91204 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.07% |
| JAIME PUERTA3 | 28443 SANTA CATARINA RD SANTA CLARITA, CA 91350 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10 | — | $10 | 0.07% |
| BERNADETTE C WEBSTER3 | 6055 EAST WASHINGTON BLVD STE 590 COMMERCE, CA 90040 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.07% |
| EVA PICONE3 | 16603 E BENBOW ST COVINA, CA 91722 | CONTINENTAL AMERICAN INSURANCE COMPANY | $9 | — | $9 | 0.07% |
| ALEXANDER C MATTHES3 | 1144 EAST ROUTE 66 GLENDORA, CA 91740 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8 | — | $8 | 0.06% |
| RENE A AVILES3 | 6055 E WASHINGTON BLVD 460 CITY OF COMMERCE, CA 90040 | CONTINENTAL AMERICAN INSURANCE COMPANY | $7 | — | $7 | 0.05% |
| DALE I DAVIS3 | 15 MACARTHUR PLACE SANTA ANA, CA 92707 | CONTINENTAL AMERICAN INSURANCE COMPANY | — | — | $0 | 0.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FL SAN DIEGO, CA 92101 | THE LINCOLN NATIONAL LIFE INSURANCE COMAPNY | $1K | — | $1K | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FL SAN DIEGO, CA 92112 | THE LINCOLN NATIONAL LIFE INSURANCE COMAPNY | — | $66 | $66 | 0.57% |
| ROYAL J MARTIN INS AGENCY INC3 Filed as: ROYAL J MARTIN INS AGCY INC | 10148 RIVERSIDE DRIVE TOLUCA LAKE, CA 91602 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $765 | — | $765 | 15.34% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP NATIONAL ACCT SVCS INC | ATTN GAYE HILEMAN 7272 E. INDIAN SCHOOL RD220 SCOOTSDALE, AZ 85251 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $202 | $73 | $275 | 5.51% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FL SAN DIEGO, CA 92101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $479 | — | $479 | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FL SAN DIEGO, CA 92112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $33 | $33 | 0.69% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS. SERVICE | 701 B ST. 6TH FLOOR SAN DIEGO, CA 92101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $71 | — | $71 | 9.97% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INS. SERVICE | 701 B ST. 6TH FLOOR SAN DIEGO, CA 92112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $4 | $4 | 0.56% |
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 | 222 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE SHIELD OF CALIFORNIA | 227 | $2.9M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 193 | $144K |
| Vision | VSP VISION SERVICE PLAN | 140 | $30K |
| Life insurance(5 contracts, 3 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 237 | $79K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMAPNY | 54 | $11K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 237 | $61K |
| Other(3 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 237 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 237 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.