| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | ANTHEM BLUE CROSS | $54K | — | $54K | 5.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 5200 N PLAM AVE #114 FRESNO, CA 93704 | ANTHEM BLUE CROSS | $19K | — | $19K | 1.75% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | HEALTH NET | $28K | — | $28K | 5.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 5200 N PLAM AVE #114 FRESNO, CA 93704 | HEALTH NET | $10K | — | $10K | 1.75% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $10K | — | $10K | 8.61% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $2K | — | $2K | 1.70% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 5200 N PALM AVE #114 FRESNO, CA 93704 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $402 | — | $402 | 0.34% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | STANDARD INSURANCE COMPANY | $6K | $564 | $6K | 16.32% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | STANDARD INSURANCE COMPANY | $618 | — | $618 | 1.56% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 5200 N PALM AVE #114 FRESNO, CA 93704 | STANDARD INSURANCE COMPANY | $170 | — | $170 | 0.43% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | ANTHEM LIFE INSURANCE COMPANY | $1K | — | $1K | 9.86% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH STREET SUITE 234 PHOENIX, AZ 85018 | ANTHEM LIFE INSURANCE COMPANY | $150 | — | $150 | 1.31% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INS SERVICES INC | 2393 TOWNSGATE RD STE 101 WESTLAKE VILLAGE, CA 91361 | AFLAC | $384 | — | $384 | 3.99% |
| AMY EVANS3 | 4932 N NORTH MAYWOOD AVE LOS ANGELES, CA 90041 | AFLAC | $185 | — | $185 | 1.92% |
| RENEE SUZANNE CORSO3 | 5805 SEPULVEDA BLVD STE 700 SHERMAN OAKS, CA 91411 | AFLAC | $155 | — | $155 | 1.61% |
| NASHINA BUSH3 | 7555 DONNA AVE RESEDA, CA 91335 | AFLAC | $73 | — | $73 | 0.76% |
| RICHARD J KUNZ3 | 601 MONTGOMERY ST STE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $58 | — | $58 | 0.60% |
| CHRISTOPHER EVANS3 | 1384 OAKLAND BLVD APT 8 WALNUT CREEK, CA 94596 | AFLAC | $48 | — | $48 | 0.50% |
| YOLANDA JOY RICHMAN3 | 10000 NEVADA AVE SHERMAN OAKS, CA 91411 | AFLAC | $47 | — | $47 | 0.49% |
| ADAM H MICHAELS3 Filed as: ADAM MICHAELS | 2922 CORDA LN LOS ANGELES, CA 90049 | AFLAC | $41 | — | $41 | 0.43% |
| BRIAN GEORGE JAEGGI3 | 8591 DYNASTY DR BOCA RATON, FL 33433 | AFLAC | $40 | — | $40 | 0.42% |
| DINORA ROSSANA DEVALLY3 | 361 MISTY TRAILS PL SIMI VALLEY, CA 93065 | AFLAC | $18 | — | $18 | 0.19% |
| LILY YAN3 | 5805 SEPULVEDA BLVD STE 700 SHERMAN OAKS, CA 91411 | AFLAC | $11 | — | $11 | 0.11% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVE LOS ANGELES, CA 90045 | AFLAC | $11 | — | $11 | 0.11% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK ST STE 615 CHICAGO, IL 60654 | AFLAC | $6 | — | $6 | 0.06% |
| LABAN MATTHEW SPALDING3 | 29404 QUAIL RUN DR AGOURA HILLS, CA 91301 | AFLAC | $5 | — | $5 | 0.05% |
| JOSEPH A BUZZELLO3 | 14747 N NORTHSIGHT BLVD STE 111-454 SCOTTSDALE, AZ 85260 | AFLAC | $5 | — | $5 | 0.05% |
| JOANN SONG ZWAGERMAN3 | 2110 PROSPECT AVE HERMOSA BEACH, CA 90245 | AFLAC | $5 | — | $5 | 0.05% |
| JOSEPH A NASCA3 | 28081 W MAPLE AVE BARRINGTON, IL 60010 | AFLAC | $3 | — | $3 | 0.03% |
| OLENA K SHEA3 | 3 MITCHELL PL UNIT 18C NEW YORK, NY 10017 | AFLAC | $2 | — | $2 | 0.02% |
| ALFRED RIETKERK3 | 438 PSGAH PIKE PULASKI, TN 38478 | AFLAC | $1 | — | $1 | 0.01% |
| BRIAN E KATZ3 | 1032 S SIERRA BONITA AVE LOS ANGELES, CA 90019 | AFLAC | $1 | — | $1 | 0.01% |
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 | 125 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 125 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | ANTHEM BLUE CROSS | 110 | $1.7M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 206 | $119K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 206 | $119K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 143 | $51K |
| Other | AFLAC | 4 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 206 | — |
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.
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.