| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DUNNY INC.3 | 1824 CALLE CIERVOS SAN DIMAS, CA 91773 | COMBINED INSURANCE | $97K | $0 | $97K | 49.95% |
| AXEL I. DUBON3 | UNKNOWN LOS ANGELES, CA 90023 | COMBINED INSURANCE | $14K | $0 | $14K | 7.50% |
| NEIL J. REREZ3 | UNKNOWN LOS ANGELES, CA 90023 | COMBINED INSURANCE | $7K | $0 | $7K | 3.71% |
| MJ INSURANCE3 Filed as: DOMINQUE E PEREZ AND VARIOUS AGENTS | UNKNOWN LOS ANGELES, CA 92612 | COMBINED INSURANCE | $6K | $0 | $6K | 3.23% |
| DALE C. VAN WAGNER3 | PO BOX 278 CHINO, CA 91708 | COMBINED INSURANCE | $6K | $0 | $6K | 3.15% |
| MARY E. RODRIGUEZ3 | UNKNOWN LOS ANGELES, CA 90023 | COMBINED INSURANCE | $6K | $0 | $6K | 2.99% |
| DAVID REESER3 | UNKNOWN LOS ANGELES, CA 90023 | COMBINED INSURANCE | $5K | $0 | $5K | 2.75% |
| DUNNY INC.3 | 1824 CALLE CIERVOS SAN DIMAS, CA 91773 | AFLAC | $2K | $68 | $2K | 8.94% |
| DALE C. VAN WAGNER3 | PO BOX 278 CHINO, CA 91708 | AFLAC | $1K | $34 | $1K | 5.24% |
| DAVID J REESOR3 Filed as: DAVID J. REESOR | 1615 WILSON AVENUE UPLAND, CA 91784 | AFLAC | $710 | $22 | $732 | 2.70% |
| MJ INSURANCE3 Filed as: NEIL J. RECKON AND VARIOUS AGENTS | 1824 CALLE CIERVOS SAN DIMAS, CA 91773 | AFLAC | $622 | $0 | $622 | 2.30% |
| CYNTHIA LUQUIN3 | 2001 EAST FINANCIAL WAY, 2ND FLOOR GLENDORA, CA 91741 | AFLAC | $313 | $2 | $315 | 1.16% |
| DULCE MARIA MEXIA3 | 2220 EAST ROUTE 66, SUITE 215 GLENDORA, CA 91740 | AFLAC | $216 | $7 | $223 | 0.82% |
| KIMBERLY O. KWOK3 | 2044 COBBLEFIELD WAY GLENDORA, CA 91740 | AFLAC | $135 | $0 | $135 | 0.50% |
| DUNNY INC.3 | 1824 CALLE CIERVOS SAN DIMAS, CA 91773 | AFLAC | $710 | $0 | $710 | 5.38% |
| DALE C. VAN WAGNER3 | PO BOX 278 CHINO, CA 91708 | AFLAC | $344 | $0 | $344 | 2.61% |
| DAVID J REESOR3 Filed as: DAVID J. REESOR | 1615 WILSON AVENUE UPLAND, CA 91784 | AFLAC | $327 | $0 | $327 | 2.48% |
| DULCE MARIA MEXIA3 | 2220 EAST ROUTE 66, SUITE 215 GLENDORA, CA 91740 | AFLAC | $323 | $0 | $323 | 2.45% |
| MJ INSURANCE3 Filed as: SHEM J. BOSTICK AND VARIOUS AGENTS | 1620 SOUTH DITMAR STREET OCEANSIDE, CA 92054 | AFLAC | $267 | $0 | $267 | 2.02% |
| CYNTHIA LUQUIN3 | 2001 EAST FINANCIAL WAY, 2ND FLOOR GLENDORA, CA 91741 | AFLAC | $231 | $0 | $231 | 1.75% |
| KIMBERLY O. KWOK3 | 2044 COBBLEFIELD WAY GLENDORA, CA 91740 | AFLAC | $201 | $0 | $201 | 1.52% |
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 | 504 | 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) | 504 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | SAFEGUARD HEALTH PLANS, INC. | 504 | $0 |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 504 | $0 |
| Life insurance | COMBINED INSURANCE | 1,184 | $193K |
| Short-term disability | COMBINED INSURANCE | 1,184 | $193K |
| Long-term disability | COMBINED INSURANCE | 1,184 | $193K |
| Other(3 contracts, 2 carriers) | COMBINED INSURANCE | 1,184 | $234K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,184 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.