| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | 325 JOHN H MCCONNELL BLVD SUITE 350 COLUMBUS, OH 43215 | BLUE CROSS OF CALIFORNIA | $63K | $0 | $63K | 5.05% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC. | 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 | KAISER FOUNDATION HEALTH PLAN INC | $6K | $0 | $6K | 4.97% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | UNKNOWN UNKNOWN, CA 00000 | DELTA DENTAL OF CALIFORNIA | $6K | $0 | $6K | 5.00% |
| BETTY MURDOCK3 | 7216 TESSERA PKWY LAGO VISTA, TX 78645 | AFLAC | $1K | $24 | $1K | 4.40% |
| VANESSA IRENE HERRERA3 | 200 E AVENIDA DE LA MERCED MONTEBELLO, CA 90640 | AFLAC | $868 | $57 | $925 | 3.66% |
| JUANITA BURKS & ASSOCIATES3 | 6060 CENTER DR STE 800 LOS ANGELES, CA 90045 | AFLAC | $223 | $16 | $239 | 0.95% |
| YAMASAKI & COMPANY3 Filed as: YAMASAKI AND COMPANY INC | 1840 W 186TH ST STE 200 TORRANCE, CA 90504 | AFLAC | $147 | $0 | $147 | 0.58% |
| LISA M HELZING3 | 620 JILL CT DES PLAINES, IL 60018 | AFLAC | $133 | $0 | $133 | 0.53% |
| JESSICA PEREZ3 | 6167 BRISTOL PKWY STE 106 CULVER CITY, CA 90230 | AFLAC | $99 | $16 | $115 | 0.46% |
| RHOLAN CHAN WONG3 | 2825 TILDEN AVE LOS ANGELES, CA 90064 | AFLAC | $111 | $0 | $111 | 0.44% |
| CLAY W CAMPBELL3 | 14720 LIBLEN AVE BELLFLOWER, CA 90706 | AFLAC | $102 | $0 | $102 | 0.40% |
| KAREN M HUGHES3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $98 | $0 | $98 | 0.39% |
| KARI S. TAMKE3 Filed as: KARI S TAMKE | 45 54TH PL APT 4 LONG BEACH, CA 90803 | AFLAC | $86 | $0 | $86 | 0.34% |
| TONI Y DECAMP3 | 4227 S MERIDIAN C425 PUYALLUP, WA 98373 | AFLAC | $80 | $0 | $80 | 0.32% |
| DAWN A CHRISTENSEN3 | 24516 APPLE ST NEWHALL, CA 91321 | AFLAC | $76 | $0 | $76 | 0.30% |
| PETER P MORSE3 | 1026 W 21ST ST SAN PEDRO, CA 90731 | AFLAC | $54 | $0 | $54 | 0.21% |
| KATHLEEN S HANSON3 | 5460 E EL PARQUE ST LONG BEACH, CA 90815 | AFLAC | $53 | $0 | $53 | 0.21% |
| JOSEPH A BUZZELLO3 | 14747 N NORTHSIGHT BLVD STE 111-454 SCOTTSDALE, AZ 85260 | AFLAC | $53 | $0 | $53 | 0.21% |
| TERESA PHILLIPS3 | 3099 W CHAPMAN AVE APT 126 ORANGE, CA 92868 | AFLAC | $45 | $0 | $45 | 0.18% |
| ELIZABETH D PEARSON3 | 4609 103RD LN NE KIRKLAND, WA 98033 | AFLAC | $34 | $0 | $34 | 0.13% |
| JANELLE M ZAMORA3 | 421 W BROADWAY APT 4157 LONG BEACH, CA 90802 | AFLAC | $30 | $0 | $30 | 0.12% |
| MEENA JOLLY3 | 28 MADDYBETH CRESCENT BRAMPTON, WY 00000 | AFLAC | $29 | $0 | $29 | 0.11% |
| VICTORIA T CAMPBELL3 | 14720 LIBLEN AVE BELLFLOWER, CA 90706 | AFLAC | $29 | $0 | $29 | 0.11% |
| RENE CASTRO3 | 5460 E EL PARQUE ST LONG BEACH, CA 90815 | AFLAC | $28 | $0 | $28 | 0.11% |
| ALDO LASTRA3 | 9733 NW 45TH LN DORAL, FL 33178 | AFLAC | $24 | $0 | $24 | 0.09% |
| STEVEN T SPEICHINGER3 | 3008 CHRISTIAN AVE WAUSAU, WI 54401 | AFLAC | $24 | $0 | $24 | 0.09% |
| YOLANDA F LASTRA3 | 9733 NW 45TH LN DORAL, FL 33178 | AFLAC | $22 | $0 | $22 | 0.09% |
| BRUCE W. FORD3 Filed as: BRUCE W FORD | PO BOX 5734 KENT, WA 98064 | AFLAC | $21 | $0 | $21 | 0.08% |
| BRAD FISHER3 | 8908 NE 145TH ST KENMORE, WA 98028 | AFLAC | $20 | $0 | $20 | 0.08% |
| JEANNINE CAPPUSO3 Filed as: JEANNINE MARIE CAPPUSO | 7801 N FEDERAL HWY BLDG 4-202 BOCA RATON, FL 33487 | AFLAC | $19 | $0 | $19 | 0.08% |
| ANDREA M MACIAS3 | 7216 TESSERA PKWY LAGO VISTA, TX 78645 | AFLAC | $15 | $0 | $15 | 0.06% |
| MARY POHLMAN3 | 27735 214TH AVE SE MAPLE VALLEY, WA 98038 | AFLAC | $11 | $0 | $11 | 0.04% |
| MARCO A ERAZO3 | 4160 SW 152ND AVE MIRAMAR, FL 33027 | AFLAC | $10 | $0 | $10 | 0.04% |
| TODD V MASON3 | 1607 W PACIFIC COAST HWY APT 144 WILMINGTON, CA 90744 | AFLAC | $9 | $0 | $9 | 0.04% |
| KRISTOPHER KEAHIOLALO3 | 531 HAHAIONE ST NUMBER 11 A HONOLULU, HI 96825 | AFLAC | $9 | $0 | $9 | 0.04% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVE LOS ANGELES, CA 90045 | AFLAC | $8 | $0 | $8 | 0.03% |
| DAVID J MCCLELLAN3 Filed as: DAVID JOHN HANNANT | 14830 NE 167TH ST WOODINVILLE, WA 98072 | AFLAC | $8 | $0 | $8 | 0.03% |
| THERESA NETTO PHILLIPS3 Filed as: THERESA V REDDING | 71 COUNTRY CLUB DR BLOOMINGDALE, IL 60108 | AFLAC | $6 | $0 | $6 | 0.02% |
| JOANNA G MATHERLY3 | 2000 GLEN ECHO RD STE 204 NASHVILLE, TN 37215 | AFLAC | $6 | $0 | $6 | 0.02% |
| BRANDON PENKO3 Filed as: BRANDON C HOOBLER | 1230 S 336TH ST STE A FEDERAL WAY, WA 98003 | AFLAC | $5 | $0 | $5 | 0.02% |
| LIVIER MARIA RAMIREZ3 | 1107 FAIR OAKS AVE UNIT 882 SOUTH PASADENA, CA 91030 | AFLAC | $5 | $0 | $5 | 0.02% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $4 | $0 | $4 | 0.02% |
| CHAD L NELSON3 | 5266 N KUFALK LN BYRON, IL 61010 | AFLAC | $4 | $0 | $4 | 0.02% |
| ELIZABETH M GASPAROVIC3 | 18 N SMITH ST PALATINE, IL 60067 | AFLAC | $3 | $0 | $3 | 0.01% |
| CRAIG A HANSEN3 | 6848 RIVERDALE DR SE TUMWATER, WA 98501 | AFLAC | $3 | $0 | $3 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK ST STE 615 CHICAGO, IL 60654 | AFLAC | $3 | $0 | $3 | 0.01% |
| DENNIS M COPLAND3 | 118 LA COSTA CT GARLAND, TX 75044 | AFLAC | $2 | $0 | $2 | 0.01% |
| GREGORY J SHARP3 | 702 E 5TH ST COAL VALLEY, IL 61240 | AFLAC | $2 | $0 | $2 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: JAMES GRAYDON BROWN | 2522 OWENS LANDING TRL NW KENNESAW, GA 30152 | AFLAC | $2 | $0 | $2 | 0.01% |
| HEATHER L TOMSON3 | 63607 NE 9TH STREET RENTON, WA 98056 | AFLAC | $1 | $0 | $1 | 0.00% |
| MICHAEL R. FISHER3 Filed as: MICHAEL R FISHER | 50 W LEMON AVE STE 2 MONROVIA, CA 91016 | AFLAC | $1 | $0 | $1 | 0.00% |
| NANCY E ODOM3 | 5921 STONE MEADOW DR PLANO, TX 75093 | AFLAC | $1 | $0 | $1 | 0.00% |
| SCALETTA INSURANCE AGENCY INC3 | 15 N WINDSOR DR ARLINGTON HEIGHTS, IL 60004 | AFLAC | $1 | $0 | $1 | 0.00% |
| JAVIER L ORTIZ3 | 9620 NE 2ND AVE STE 203 MIAMI SHORES, FL 33138 | AFLAC | $1 | $0 | $1 | 0.00% |
| ALFRED RIETKERK3 | 438 PISGAH PIKE PULASKI, TN 38478 | AFLAC | $0 | $0 | $0 | 0.00% |
| ANNE MARIE HUBBARD3 | 446 MORNING CANYON RD CORONA DEL MAR, CA 92625 | AFLAC | $0 | $0 | $0 | 0.00% |
| JEREMY M SKEETERS3 | 9695 W MONTE LINDO PEORIA, AZ 85383 | AFLAC | $0 | $0 | $0 | 0.00% |
| DENNIS J CASSENS3 | 4646 E MARRILL RD BYRON, IL 61010 | AFLAC | $0 | $0 | $0 | 0.00% |
| TIMOTHY B ASBY3 | 11500 GOLDEN WILLOW CT ZIONSVILLE, IN 46077 | AFLAC | $0 | $0 | $0 | 0.00% |
| ELIZABETH A LENZO3 | 701 ALBEROSKY WAY BATAVIA, IL 60510 | AFLAC | $0 | $0 | $0 | 0.00% |
| STEPHEN KELLS3 | 514 MAYFAIR CT GERMANTOWN HILLS, IL 61548 | AFLAC | $0 | $0 | $0 | 0.00% |
| SETH JAFFE3 Filed as: SETH L JAFFE | 4127 E MASSACHUSETTS ST LONG BEACH, CA 90814 | AFLAC | $0 | $0 | $0 | 0.00% |
| MEGHAN MOFFATT LUCAS3 Filed as: MEGHAN M MILLER | 728 MERCER PL HUNTERSVILLE, NC 28078 | AFLAC | $0 | $0 | $0 | 0.00% |
| MARK D BARBIER3 | 23 CROYDON LN OAK BROOK, IL 60523 | AFLAC | $0 | $0 | $0 | 0.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | PO BOX 9465 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $0 | $2K | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | PO BOX 9465 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | $0 | $1K | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | PO BOX 9465 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $607 | $0 | $607 | 9.99% |
| IQBAL SINGH BAGGA3 | 10510 66TH AVE APT 5C FOREST HILLS, NY 11375 | AFLAC | $355 | $0 | $355 | 6.81% |
| RICHARD PETERSON3 | 14107 20TH AVE STE 507 WHITESTONE, NY 11357 | AFLAC | $106 | $0 | $106 | 2.03% |
| MARTIN F. CONROY3 | PO BOX 475 HOBOKEN, NJ 07030 | AFLAC | $61 | $0 | $61 | 1.17% |
| KENNETH C MEIER CORP3 | 401 FRANKLIN AVE STE 312 GARDEN CITY, NY 11530 | AFLAC | $32 | $0 | $32 | 0.61% |
| JACQUES P DAVID CORPORATION3 | 125 JERICHO TPKE STE 201 JERICHO, NY 11753 | AFLAC | $15 | $0 | $15 | 0.29% |
| MERYL SURGAN3 | 326 JAEGER AVE MAYWOOD, NJ 07607 | AFLAC | $12 | $0 | $12 | 0.23% |
| JACQUES P DAVID CORPORATION3 | 35 PINELAWN RD STE 190 MELVILLE, NY 11747 | AFLAC | $11 | $0 | $11 | 0.21% |
| KOBER ASSOCIATES LLC3 | 14107 20TH AVE STE 507 WHITESTONE, NY 11357 | AFLAC | $9 | $0 | $9 | 0.17% |
| BRIAN WHITE3 | 6 COWDIN LN CHAPPAQUA, NY 10514 | AFLAC | $9 | $0 | $9 | 0.17% |
| BENITO A ROTONDI II INC3 | 23 PINE RIDGE RD SARATOGA SPRINGS, NY 12866 | AFLAC | $6 | $0 | $6 | 0.12% |
| RUSSELL T BARRETT3 | 665 SARATOGA RD APT 130 GANSEVOORT, NY 12831 | AFLAC | $6 | $0 | $6 | 0.12% |
| DOMINICK R SIRACUSA3 | 225 DOLSON AVE STE 304 MIDDLETOWN, NY 10940 | AFLAC | $3 | $0 | $3 | 0.06% |
| TODD J BURKE CORP3 | 2 IRIS LN GARDEN CITY, NY 11530 | AFLAC | $2 | $0 | $2 | 0.04% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | UNKNOWN UNKNOWN, CA 00000 | DELTA DENTAL OF CALIFORNIA | $256 | $0 | $256 | 5.09% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH JCS INC | PO BOX 9465 NEW YORK, NY 10087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $298 | $0 | $298 | 10.01% |
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 | 151 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 185 | $1.4M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 235 | $115K |
| Vision | VISION SERVICE PLAN | 135 | $21K |
| Life insurance(3 contracts, 2 carriers) | AFLAC | 151 | $52K |
| Short-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 148 | $11K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 148 | $12K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 185 | $1.4M |
| Other(2 contracts, 2 carriers) | AFLAC | 151 | $8K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 235 | — |
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.