| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 125 HIGH STREET, 22ND FLOOR BOSTON, MA 02110 | BLUE CROSS OF CALIFORNIA | $12K | $1K | $13K | 6.76% |
| ALLIANT INSURANCE SERVICES, INC.3 | 125 HIGH STREET, 22ND FLOOR BOSTON, MA 02110 | STANDARD INSURANCE COMPANY | $2K | $577 | $3K | 12.61% |
| JOY E GUNDERSON3 Filed as: JOY GUNDERSON | 2824 SAINT ANDREWS RD FAIRFIELD, WA 94534 | AFLAC | $927 | $0 | $927 | 4.83% |
| ALLIANT INSURANCE SERVICES, INC.3 | 818 WEST RIVERSIDE AVENUE SPOKANE, WA 99201 | AFLAC | $643 | $0 | $643 | 3.35% |
| KENNETH G. BARCLAY3 Filed as: KENNETH BARCLAY | 1218 VIA CANDELAS OCEANSIDE, CA 92056 | AFLAC | $510 | $28 | $538 | 2.80% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN HAJIMOMEN | 5752 WHISTLER CIRCLE HUNTINGTON BEACH, CA 92649 | AFLAC | $237 | $7 | $244 | 1.27% |
| STEVEN PIERCE3 | 5119 GOLDEN AVE RIVERSIDE, CA 92505 | AFLAC | $225 | $0 | $225 | 1.17% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC | 3620 BIRCH STREET, 1ST FLOOR NEWPORT BEACH, CA 92660 | AFLAC | $125 | $0 | $125 | 0.65% |
| MJ INSURANCE3 Filed as: SCOTT COOKE AND VARIOUS AGENTS | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $106 | $0 | $106 | 0.55% |
| ALLIANT INSURANCE SERVICES, INC.3 | 125 HIGH STREET, 22ND FLOOR BOSTON, MA 02110 | ANTHEM LIFE INSURANCE COMPANY | $1K | $0 | $1K | 7.60% |
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 | 369 | 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) | 369 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUE CROSS OF CALIFORNIA | 390 | $197K |
| Vision | BLUE CROSS OF CALIFORNIA | 390 | $197K |
| Life insurance(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 390 | $237K |
| Short-term disability | AFLAC | 6 | $19K |
| Other(4 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 390 | $256K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 390 | — |
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.