| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANONE SIMPSON INSURANCE SERVICES3 | DBA MONTAGE INSURANCE SERVICES 5550 TOPANGA CANYON BLVD. WOODLAND HILLS, CA 91367 | AETNA HEALTH, INC. | $13K | $0 | $13K | 2.49% |
| WOOD GUTMANN & BOGART INSURANCE3 Filed as: WOOD GUTMANN INSURANCE BROKERS | 15901 RED HILL AVE TUSTIN, CA 92780 | AETNA HEALTH, INC. | $12K | $0 | $12K | 2.23% |
| DANONE SIMPSON INSURANCE SERVICES3 | 5550 TOPANGA CANYON BLVD SUITE 310 WOODLAND HILLS, CA 91367 | UNITED HEALTHCARE INSURANCE COMPANY | $6K | $0 | $6K | 2.05% |
| WGB BENEFITS INSURANCE SERVICES3 Filed as: WGB BENEFITS INSURANCE BROKERS L.P. | 15901 RED HILL AVE SUITE 100 TUSTIN, CA 927807318 | UNITED HEALTHCARE INSURANCE COMPANY | $3K | $0 | $3K | 1.12% |
| WOOD GUTMANN & BOGART INSURANCE3 Filed as: WOOD GUTMANN INSURANCE BROKERS | 15901 RED HILL AVE TUSTIN, CA 92780 | AETNA LIFE INSURANCE CO. | $6K | $0 | $6K | 4.70% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE SIMPSON INS SERVICES | DBA MONTAGE INSURANCE SERVICES 5550 TOPANGA CANYON BLVD WOODLAND HILLS, CA 91367 | AETNA LIFE INSURANCE CO. | $6K | $0 | $6K | 4.55% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANONE L SIMPSON | 6065 COUNTRY OAK ROAD WOODLAND HILLS, CA 91367 | THE GUARDIAN LIFE INSURANCE COMPANY | $5K | $0 | $5K | 9.16% |
| WOOD GUTMANN & BOGART INSURANCE3 | 15901 RED HILL SUITE 100 TUSTIN, CA 92780 | THE GUARDIAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 5.84% |
| JACOB BURNS INC.3 | 2905 MAGNOLIA AVE LONG BEACH, CA 90806 | AFLAC | $1K | $334 | $2K | 4.42% |
| ANNETTE L. BURNS3 Filed as: ANNETTE L BURNS | 28303 BRYCE DR CASTAIC, CA 91384 | AFLAC | $1K | $278 | $2K | 3.86% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | PO BOX 511 SANTA MONICA, CA 90406 | AFLAC | $552 | $0 | $552 | 1.42% |
| GEORGE E ARBID3 | 25728 LEWIS WAY STEVENSON RANCH, CA 91381 | AFLAC | $289 | $112 | $401 | 1.03% |
| HORACIO J. LANZAS3 Filed as: HORACIO J LANZAS | 7032 BAIRD AVE RESEDA, CA 91335 | AFLAC | $149 | $56 | $205 | 0.53% |
| WOOD GUTMANN & BOGART INSURANCE3 Filed as: WOOD GUTMANN & BOGART INS BROKERS | 15901 RED HILL AVE SUITE 100 TUSTIN, CA 92780 | AFLAC | $203 | $0 | $203 | 0.52% |
| OLENA K SHEA3 | 3 MITCHELL PL UNIT 18C NEW YORK, NY 10017 | AFLAC | $149 | $0 | $149 | 0.38% |
| ACRISURE LLC3 Filed as: SULLIVAN CURTIS MONROE INS. SVCS | 1920 MAIN STREET SUITE 600 IRVINE, CA 92614 | AFLAC | $97 | $0 | $97 | 0.25% |
| RENE CASTRO3 | 5460 E EL PARQUE ST LONG BEACH, CA 90815 | AFLAC | $69 | $0 | $69 | 0.18% |
| JAIME PUERTA3 Filed as: JAIME I PUERTA | 28443 SANTA CATARINA RD SANTA CLARITA, CA 91350 | AFLAC | $66 | $0 | $66 | 0.17% |
| ADAM H MICHAELS3 | 2922 CORDA LN LOS ANGELES, CA 90049 | AFLAC | $63 | $0 | $63 | 0.16% |
| JENNY ROSENBAUM3 Filed as: JENNY A ROSENBAUM | 21 TROFELLO LN ALISO VIEJO, CA 92656 | AFLAC | $63 | $0 | $63 | 0.16% |
| SHERRI D PERRY3 | 5151 WOODMAN AVE APT 41 SHERMAN OAKS, CA 91423 | AFLAC | $50 | $0 | $50 | 0.13% |
| JOSEPH A BUZZELLO3 | 14747 N NORTHSIGHT BLVD. SUITE 111-454 SCOTTSDALE, AZ 85260 | AFLAC | $43 | $0 | $43 | 0.11% |
| TOAN HUU PHAM3 | 546 S HARBOR BLVD. SANTA ANA, CA 92704 | AFLAC | $42 | $0 | $42 | 0.11% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN ALI HAMJIMOMEN | 1561 E ORANGETHORPE AVE SUITE 200 FULLERTON, CA 92831 | AFLAC | $32 | $0 | $32 | 0.08% |
| TOMMY L JOHNSON JR3 | 711 S OLIVE STREET APT 314 LOS ANGELES, CA 90014 | AFLAC | $25 | $0 | $25 | 0.06% |
| GEOFFREY MALAIS3 | PO BOX 280-717 NORTHRIDGE, CA 91328 | AFLAC | $23 | $0 | $23 | 0.06% |
| MARSHALL CHARLES MCDONALD3 | 17031 SUMMERS WALK BLVD. DAVIDSON, NC 28036 | AFLAC | $20 | $0 | $20 | 0.05% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVE LOS ANGELES, CA 90045 | AFLAC | $17 | $0 | $17 | 0.04% |
| G SCOTT COOKE3 | 2832 NE 17TH AVE WILTON MANORS, FL 33334 | AFLAC | $16 | $0 | $16 | 0.04% |
| MICHAEL R. FISHER3 Filed as: MICHAEL R FISHER | 50 W LEMON AVE SUITE 2 MONROVIA, CA 91016 | AFLAC | $12 | $0 | $12 | 0.03% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK ST SUITE 615 CHICAGO, IL 60654 | AFLAC | $11 | $0 | $11 | 0.03% |
| ELIZABETH MICAELA VEGA3 | 11671 STRATHERN STREET NORTH HOLLYWOOD, CA 91605 | AFLAC | $8 | $0 | $8 | 0.02% |
| KATRINA LAFATA3 | 2905 MAGNOLIA AVE LONG BEACH, CA 90806 | AFLAC | $7 | $0 | $7 | 0.02% |
| DAVID BRYANT3 | 1925 CENTURY PARK E SUITE 1700 LOS ANGELES, CA 90067 | AFLAC | $7 | $0 | $7 | 0.02% |
| DAWN A CHRISTENSEN3 | 24516 APPLE STREET NEWHALL, CA 91321 | AFLAC | $4 | $0 | $4 | 0.01% |
| CHARLES RENICO3 | 1127 HACIENDA PL APT 4 WEST HOLLYWOOD, CA 90069 | AFLAC | $3 | $0 | $3 | 0.01% |
| BRYSTA INSURANCE SERVICES, INC.3 Filed as: BRYSTA INSURANCE SERVICES INC | 1925 CENTURY PARK E SUITE 1700 LOS ANGELES, CA 90067 | AFLAC | $3 | $0 | $3 | 0.01% |
| WILLIS TOWERS WATSON US LLC3 Filed as: JOSEPH H WILLIS JR | 1431 NE 55TH STREET FORT LAUDERDALE, FL 33334 | AFLAC | $3 | $0 | $3 | 0.01% |
| LARA K GRANDE3 | 117 MORNING MIST LN FRANKLIN, TN 37064 | AFLAC | $3 | $0 | $3 | 0.01% |
| ERIC BROGAN3 Filed as: ERIC E MILLER | 728 MERCER PL HUNTERSVILLE, NC 28078 | AFLAC | $2 | $0 | $2 | 0.01% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DR WALNUT CREEK, CA 94598 | AFLAC | $1 | $0 | $1 | 0.00% |
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 | 187 | 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) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA HEALTH, INC. | 259 | $937K |
| Dental | AETNA LIFE INSURANCE CO. | 259 | $132K |
| Vision | AETNA LIFE INSURANCE CO. | 259 | $132K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY | 187 | $50K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY | 187 | $50K |
| Other(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY | 187 | $89K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 259 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.