| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | BLUE CROSS OF CALIFORNIA | $56K | $0 | $56K | 5.36% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD, 8TH FLOOR ROLLNG MEADOWS, IL 60008 | BLUE CROSS OF CALIFORNIA | $0 | $301 | $301 | 0.03% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: DICKERSON EMPLOYEE BENEFITS, INC. | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | UNION SECURITY INSURANCE COMPANY | $4K | $2K | $6K | 12.41% |
| TOAN HUU PHAM3 | 546 SOUTH HARBOR BOULEVARD SANTA ANA, CA 92704 | AFLAC | $1K | $237 | $1K | 7.97% |
| KEVIN J MARKEL3 Filed as: KEVIN J. MARKEL | 921 HILLSIDE STREET, APARTMENT 2 LA HABRA, CA 90631 | AFLAC | $1K | $154 | $1K | 6.79% |
| JONATHAN ALI HAJIMOMEN3 | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $364 | $78 | $442 | 2.58% |
| AURELIO VELA3 | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $254 | $50 | $304 | 1.78% |
| AURELIO VELA INSURANCE SERVICES INC3 Filed as: AURELIO VELA INS. AND OTHER AGENTS | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $226 | $0 | $226 | 1.32% |
| DANIEL G TABELLO3 Filed as: DANIEL G. TABELLO | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $169 | $29 | $198 | 1.16% |
| G SCOTT COOKE3 Filed as: G. SCOTT COOKE | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $111 | $0 | $111 | 0.65% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: DICKERSON EMPLOYEE BENEFITS INS SVC | 1918 RIVERSIDE DRIVE LOS ANGELES, CA 90039 | SUN LIFE ASSURANCE COMPANY OF CANADA | $993 | $0 | $993 | 10.80% |
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 | 153 | 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) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 178 | $1.0M |
| Dental | BLUE CROSS OF CALIFORNIA | 178 | $1.0M |
| Vision | BLUE CROSS OF CALIFORNIA | 178 | $1.0M |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 152 | $60K |
| Short-term disability | AFLAC | 27 | $17K |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 178 | $1.0M |
| Other(4 contracts, 4 carriers) | BLUE CROSS OF CALIFORNIA | 178 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 178 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.