| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRYCE ALEXANDER KORNGOLD3 | 25950 ACERO STE 345 MISSION VIEJO, CA 92691 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $208K | $4K | $212K | 11.35% |
| KIMBERLY CORRIE JAMES3 | 19197 AZTEC CT FOUNTAIN VALLEY, CA 92708 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $56K | — | $56K | 3.00% |
| CONSUMER DRIVEN BENEFITS LLC3 | 3737 BIRCH STREET NEWPORT BEACH, CA 92660 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $78K | $116K | $194K | 31.15% |
| BRYCE ALEXANDER KORNGOLD3 | 25950 ACERO MISSION VIEJO, CA 92691 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $115K | $0 | $115K | 18.40% |
| KIMBERLY CORRIE JAMES3 | 18197 AZTEC CT FOUNTAIN VALLEY, CA 92708 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27K | $0 | $27K | 4.29% |
| RACHAEL DARLENE DUBE3 | 1 PEBBLEWOOD IRVINE, CA 92604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4K | $1K | $5K | 0.78% |
| MARIA MERCEDES TOGNOLI3 | 17 SARACENO NEWPORT COAST, CA 92657 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $111 | $200 | $311 | 0.05% |
| TINA HERNANDEZ3 | 11779 W COCOPAH ST AVONDALE, AZ 85323 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $237 | $0 | $237 | 0.04% |
| MICHAEL KAVOUKLIS3 Filed as: MICHAEL TODD O GRADY | 25950 ACERO MISSION VIEJO, CA 92691 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $181 | $0 | $181 | 0.03% |
| SHARI ILENE BIALICK ROSEMBLAT3 | 1846 HI POINT STREET LOS ANGELES, CA 90035 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $94 | $0 | $94 | 0.02% |
| BOB BLAKE & ASSOCIATES INC3 Filed as: BOB BLAKE & ASSOCIATES | 444 W. OCEAN BLVD LONG BEACH, CA 90802 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $65 | $0 | $65 | 0.01% |
| JANELLE MARIE AGAGON3 | 3999 LEWIS AVE LONG BEACH, CA 90807 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | $14 | $64 | 0.01% |
| YOLO ENTERPRISE INC3 | 5460 E EL PRAQUE ST LONG BEACH, CA 90815 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $34 | $29 | $63 | 0.01% |
| AON CONSULTING INC3 Filed as: AON RISK INSURANCE SERVICES WEST IN | P.O. BOX 905494 CHARLOTTE, NC 28290 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $56 | $0 | $56 | 0.01% |
| CARMEN LOPEZ3 | 4655 WEST 1ST STREET LOS ANGELES, CA 90004 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $51 | $0 | $51 | 0.01% |
| GROUP SUPPLEMENTAL BENEFITS INC3 | 1003 EAST COOLEY DR COLTON, CA 92324 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $45 | $0 | $45 | 0.01% |
| JILLIAN AMBER SHARP3 | 2281 SAUST AVE LONG BEACH, CA 90815 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $38 | $1 | $39 | 0.01% |
| KATHY JO ANDERSON3 | 4323 YOSEMITE WAY LOS ANGELES, CA 90065 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | $1 | $38 | 0.01% |
| M B ELLISON INC3 | 834 E 4TH STREET LONG BEACH, CA 90802 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $32 | $0 | $32 | 0.01% |
| INOCENCIA MAY CRAWFORD3 | 3055 FOORHILL BLVD #3 LA CRESCENTA, CA 91214 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $30 | $0 | $30 | 0.00% |
| MAGNONE FINANCIAL SERVICES CORP3 | 3151 OUTRIGGER AVE VENTURA, CA 93001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $27 | $0 | $27 | 0.00% |
| GIOVANNA HUGHES3 | P.O. BOX 1161 STUDIO CITY, CA 91614 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | $3 | $17 | 0.00% |
| JOHN M FICKEWIRTH AND ASOC3 | P.O. BOX 3617 VENTURA, CA 93006 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | $0 | $13 | 0.00% |
| TERESA PHILLIPS3 | 1742 W LINCOLN AVE ANAHEIM, CA 92801 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | $0 | $11 | 0.00% |
| MARTIN A MANNINGS3 | 725 SOUTH BIXEL ST LOS ANGELES, CA 90017 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $2 | $7 | 0.00% |
| BILLY WALKER3 | 406 WEST LINDEN DRIVE ORANGE, CA 92865 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | $0 | $6 | 0.00% |
| TAMARA BRANCH3 | 3989 S. ORANGE DRIVE LOS ANGELES, CA 90008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | $0 | $5 | 0.00% |
| MARIA JOHNSON3 | 7112 FORD DRIVE HUNTINGTON BEACH, CA 92647 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $4 | $0 | $4 | 0.00% |
| NICOLE LORRAINE MCFARLAND3 | 16966 TURK DRIVE LA PUENTE, CA 91744 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.00% |
| DANA STUBBLEFIELD3 | 5019 16TH ST NW WASHINGTON, DC 20011 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $0 | $3 | 0.00% |
| CHISOLM & ASSOCIATED INSURANCE SERV3 Filed as: CHISOLM & ASSOCIATES INS. SERV. | 12368 ANDY STREET CERRITOS, CA 90702 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| ARETHA GREEN3 | 4280 VIA ARBOLADA LOS ANGELES, CA 90042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.00% |
| DARIN POTTS3 | 510 BERING DRIVE HOUSTON, TX 77057 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.00% |
| MARIA RUBY QUINTANA3 | 12141 CENTRALIA STREET LAKEWOOD, CA 90715 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $1 | $2 | 0.00% |
| JANE CONKLIN MILLER3 | 8566 FALLBROOK CIRCLE HUNTINGTON BEACH, CA 92646 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| HAD LI ENTERPRISES INCORPORATED3 | 11432 SOUTH ST #303 CERRITOS, CA 90703 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| RUBIN G HAIRSTON3 | 5645 CAROLINE STREET MONTCLAIR, CA 91763 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| MICHAEL GATES3 | 4230 MCCLUNG DRIVE LOS ANGELES, CA 90005 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| ANDRE CRENSHAW3 | 44676 LIBERTY AVE LA QUINTA, CA 92253 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| ROY LEE TUCKER3 | P.O. BOX 41031 PASADENA, CA 91114 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| BELL INSURANCE GROUPS LLC3 | 23816 RIDGE POINT CT MORENO VALLEY, CA 92557 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| KEVIN FITZGERALD HOWARD3 | P.O. BOX 30024 OAKLAND, CA 94604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| JAMES STEVEN POWELL3 | 3811 OLMSTED AVE LOS ANGELES, CA 90008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| RAYMOND KWOCKMAN GONG3 | 2180 FENTON PKWY SAN DIEGO, CA 92108 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| ANTIONE T TURNER3 Filed as: ANTIONE TRENT TURNER | 1929 B GARES AVE REDONDO BEACH, CA 90278 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| JOSEPH L. AGAGON3 Filed as: JOSEPH LYLE AGAGON | 3999 LEWIS AVE LONG BEACH, CA 90807 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| MICHAEL C WALKER3 Filed as: MICHAEL J MINNEY | P.O. BOX 365 POWAY, CA 92074 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| PRESTON ELDRIDGE DAVIS3 | 3642 W SCRIBNER LN INGLEWOOD, CA 90305 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| MIKE MCCORMICK3 | 7 MONSERRAT PL FOOTHILL RANCH, CA 92610 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| TERESA S MOULTRIE3 | 5468 9TH AVE LOS ANGELES, CA 90043 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| EVA MARGARETA COLLIN3 | 6447 HANES RD NORTH ST PETERSBURG, FL 33714 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.00% |
| BRYCE ALEXANDER KORNGOLD3 | 25950 ACERO STE 345 MISSION VIEJO, CA 92691 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $67K | $4K | $71K | 18.01% |
| KIMBERLY CORRIE JAMES3 | 19197 AZTEC CT FOUNTAIN VALLEY, CA 92708 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $12K | — | $12K | 3.00% |
| FICKEWIRTH BENEFITS ADVISORS3 | 60 S. CALIFORNIA ST, 4TH FLOOR VENTURA, CA 93001 | RSLI | $30K | — | $30K | 8.03% |
| BRYCE ALEXANDER KORNGOLD3 | 25950 ACERO STE 345 MISSION VIEJO, CA 92691 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $41K | $4K | $45K | 18.47% |
| KIMBERLY CORRIE JAMES3 | 19197 AZTEC CT FOUNTAIN VALLEY, CA 92708 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 3.00% |
| HARRY J. WILSON INSURANCE CENTER3 | P.O. BOX 27098 FRESNO, CA 93729 | AIG | $12K | — | $12K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EPLAN EIN 20-3720767 NONE | Consulting (general); Claims processing; Direct payment from the plan Service code 12 | — | $1.4M |
| ANTHEM BLUE CROSS EIN 95-4331852 NONE | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Other services Service code 12 | — | $1.0M |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $370K |
| BASYS, INC. EIN 52-1796473 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other commissions; Other services; Accounting (including auditing) Service code 10 | — | $353K |
| ARISTOTLE CAPITAL MANAGEMENT, LLC EIN 95-4833644 NONE | Investment management; Direct payment from the plan; Investment management fees paid directly by plan Service code 28 | — | $277K |
| CBRE GLOBAL INVESTORS EIN 95-4752098 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $264K |
| REGINALD CYRUS EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $184K |
| CAROL MOORE EIN 95-3846186 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $148K |
| CITYSCAPE IT PROS EIN 46-1791445 NONE | Consulting (general); Other services; Direct payment from the plan Service code 16 | — | $146K |
| HENDERSON BERBERABE EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $132K |
| MARTINA MOJICA EIN 95-3846186 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $131K |
| DEBBIE LINK EIN 95-3846189 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $126K |
| AMERICAN REALTY ADVISORS EIN 33-0123114 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $120K |
| DANA TENEYCK EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $108K |
| CAROLINE RYAN EIN 95-3846186 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $104K |
| DALANA YOUNG EIN 95-3846186 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $103K |
| ANA CRUZ EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| MINA CARRANZA EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $100K |
| MELANIE TALSMA EIN 95-3846186 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $97K |
| MISTY LOPEZ EIN 95-3846186 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $91K |
| DEBBIE NUNEZ EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $88K |
| KATSUMI NIDOME EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $87K |
| YVONNE SAUNDERS EIN 95-3846186 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $85K |
| SONIA GUERRERO EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $84K |
| FRANK TIMPANI EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $82K |
| PACIFIC INVESTMENTS EIN 77-0583390 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $80K |
| MARK GAZMIN EIN 95-3846188 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $79K |
| ANADALLAS BIZZELL EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $76K |
| DEBBIE MARTINI EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| DONNA BEHAN EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| ALMA DIAZ EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| LINDA DELGADO EIN 95-3846186 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $70K |
| PROPHARMA PHARMACEUTICAL EIN 95-4081972 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $69K |
| MARK BINNS EIN 95-3846186 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| MERCER HUMAN RESOURCE NONE | Other services; Consulting (general); Direct payment from the plan Service code 16 | 17901 VON KARMAN AVENUE, SUITE 1100 IRVINE, CA 92614 | $64K |
| POLOMA PUBLIC AFFAIRS EIN 83-0883342 NONE | Direct payment from the plan; Other services Service code 49 | — | $61K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $60K |
| KEYSTONE NATIONAL GROUP EIN 20-5150678 NONE | Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $58K |
| CONSIDINE & ASSOCIATES, INC. NONE | Consulting (general); Direct payment from the plan; Other services Service code 16 | 25401 CABOT ROAD, SUITE 200 LAGUNA HILLS, CA 92653 | $57K |
| JESSIE MALDONADO EIN 95-3846191 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $41K |
| SANDRA L. LEPSON NONE | Other services; Direct payment from the plan Service code 49 | — | $30K |
| ACTUARIAL & FINANCIAL CONSULTING NONE | Actuarial; Direct payment from the plan Service code 11 | 23905 CLINTON KEITH ROAD 114 WILDOMAR, CA 92595 | $28K |
| DON LASSIG EIN 95-3846186 TRUSTEE | Trustee (individual); Named fiduciary; Direct payment from the plan Service code 20 | — | $25K |
| FAIR HEALTH INC EIN 90-0524293 NONE | Consulting (general); Direct payment from the plan; Other services Service code 16 | — | $25K |
| EXPRESS SCRIPTS NONE | Claims processing; Direct payment from the plan Service code 12 | 1 EXPRESS WAY ST. LOUIS, MO 63121 | $21K |
| PRECISION DOCUMENT IMAGING NONE | Other services; Direct payment from the plan Service code 49 | 2440 VASSAR ST RENO, NV 89502 | $15K |
| ADP EIN 13-3036745 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $12K |
| MARK BARTHOLOMEW EIN 95-3846186 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $12K |
| JOHN BISHOP EIN 95-3846186 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $11K |
| XAVIER CAMPOS EIN 95-3846186 TRUSTEE | Trustee (individual); Named fiduciary; Direct payment from the plan Service code 20 | — | $9K |
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 | 2,572 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,953 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,525 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 924 | $396K |
| Dental | DELTA DENTAL OF CALIFORNIA | 4 | $2K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 798 | $827K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 926 | $1.9M |
| Long-term disability | RSLI | 1,172 | $379K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 925 | $507K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,172 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.