| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARK CHARLES ROSENTHAL3 | 11813 IOWA AVENUE #2 LOS ANGELES, CA 90025 | HEALTH NET | $66K | — | $66K | 4.33% |
| GORDON THOMAS COLBURN3 | 981 W ARROW HIGHWAY 367 SAN DIMAS, CA 91773 | HEALTH NET | $10K | — | $10K | 0.65% |
| MICHELLE ANN DERAS3 | 5805 SEPULVEDA BOULEVARD SUITE 700 SHERMAN OAKS, CA 91411 | AFLAC | $8K | $141 | $8K | 9.34% |
| PAUL GALLEGOS3 | 10519 SHOSHONE AVENUE GRANDA HILLS, CA 91344 | AFLAC | $2K | $19 | $2K | 2.12% |
| MARK CHARLES ROSENTHAL3 Filed as: MARK ROSENTHAL | 11813 IOWA AVENUE #2 LOAS ANGELES, CA 90025 | AFLAC | $2K | — | $2K | 2.06% |
| KRISTINA J KUNZ3 | 351 CALIFORNIA STREET SUITE 450 SAN FRANCISCO, CA 94104 | AFLAC | $1K | — | $1K | 1.57% |
| RENEE SUZANNE CORSO3 Filed as: RENEE SEZANNE CORSO | 5805 SEPULVEDA BOULEVARD STE 700, STE 740 SHERMAN OAKS, CA 91411 | AFLAC | $1K | $19 | $1K | 1.41% |
| RICHARD J KUNZ3 | 351 CALIFORNIA STREET SUITE 450 SAN FRANCISCO, CA 94104 | AFLAC | $549 | — | $549 | 0.67% |
| SVETLANA MAGILNER3 | 19860 W DIXIE HIGHWAY APT 1301 AVENTURA, FL 33180 | AFLAC | $510 | $9 | $519 | 0.63% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $352 | — | $352 | 0.43% |
| BRIAN G JAEGGI3 | 15607 W LILLI WAY VAN UTS, CA 91406 | AFLAC | $290 | $9 | $299 | 0.36% |
| BRIAN ULLRICH3 Filed as: BRIAN M ULLRICH | 1101 SYVAN AVENUE SUITE B20 MODESTO, CA 95350 | AFLAC | $221 | — | $221 | 0.27% |
| JOHN KUNZ3 | 5805 SEPULVEDA BOULEVARD SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $129 | — | $129 | 0.16% |
| RAQUEL RAMIREZ3 | 1542 WASHINGTON STREET HOLLYWOOD, FL 33020 | AFLAC | $121 | — | $121 | 0.15% |
| JOHN KUNZ3 Filed as: JOHN M KUNZ | 5805 SEPULVEDA BOULEVARD SUITE 740 SHERMAN OAKS, CA 91411 | AFLAC | $108 | — | $108 | 0.13% |
| CHRISTOPHER HAGER3 | 8201 PARK HILL DRIVE LOS ANGELES, CA 90045 | AFLAC | $71 | — | $71 | 0.09% |
| CARIE ROLLS3 | 10832 DEBRA AVENUE GRANADA HILLS, CA 91344 | AFLAC | $65 | — | $65 | 0.08% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BOULEVARD SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $58 | — | $58 | 0.07% |
| RYAN KARRER3 | 2200 PARK NEWPORT APT 407 NEWPORT BEACH, CA 92660 | AFLAC | $19 | — | $19 | 0.02% |
| MICHAEL C WALKER3 Filed as: MICHAEL STACHOWIAK | 321 N CLARK STREET CHICAGO, IL 60654 | AFLAC | $18 | — | $18 | 0.02% |
| KATTY W COHEN3 | 21711 TOWN PLACE DRIVE BOCA RATON, FL 33433 | AFLAC | $11 | — | $11 | 0.01% |
| ANNETTE BURNS3 | 28303 BRYCE DRIVE CASTAIC, CA 91384 | AFLAC | $9 | — | $9 | 0.01% |
| RUBEN ROSA3 | 5307 SEPULVEDA BOULEVARD APT 118 SHERMAN OAKS, CA 91411 | AFLAC | $9 | — | $9 | 0.01% |
| CORKY SOCORRO EMETT3 | 80579 APPLE COURT INDIO, CA 92201 | AFLAC | $8 | — | $8 | 0.01% |
| DANIEL LARSON3 | 57 WINGATE STREET SUITE 401 HAVERHILL, MA 01832 | AFLAC | $8 | — | $8 | 0.01% |
| HAMMAN MILLER BEAUCHAMP DEEBLE3 Filed as: HAMMAN MILLER BEAUCHAMP DEEBLE INC | 3633 E BROADWAY SUITE 200 LONG BEACH, CA 90803 | AFLAC | $6 | — | $6 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $6 | — | $6 | 0.01% |
| MICHAEL R. FISHER3 Filed as: MICHAEL FISHER | 3201 WILSHIRE BOULEVARD SUITE 102 SANTA MONICA, CA 90403 | AFLAC | $5 | — | $5 | 0.01% |
| BLANCA DAVIS3 Filed as: BLANCA A DAVIS | 10571 CALLE LEE SUITE 171 LOS ALMITOS, CA 90720 | AFLAC | $5 | — | $5 | 0.01% |
| JORDAN A KEOGH3 | 28763 BRISTOL STREET HIGHLAND, CA 92346 | AFLAC | $4 | — | $4 | 0.00% |
| COLLEEN M KIRKLAND3 Filed as: COLLEEN MEILING LAWS | 1932 E DEERE AVENUE SUITE 240 SANTA ANA, CA 92705 | AFLAC | $4 | — | $4 | 0.00% |
| GEOFFREY MALAIS3 | 16800 DEVONSHIRE STREET SUITE 220 GRANADA HILLS, CA 91344 | AFLAC | $4 | — | $4 | 0.00% |
| BENEDIKT N MASON3 | 17 LITTLE BEAR HILL ROAD WESTFORD, MA 01886 | AFLAC | $2 | — | $2 | 0.00% |
| G SCOTT COOKE3 | 2832 NE 17TH AVENUE WILTON MANORS, FL 33354 | AFLAC | $2 | — | $2 | 0.00% |
| JOSEPH A BUZZELLO3 | 9018 BALBOA BOULEVARD SUITE 254 NORTHRIDGE, CA 91325 | AFLAC | $2 | — | $2 | 0.00% |
| KATHERINE J SCOGGINS3 | 10541 CALLE LEE SUITE 125 LOS ALAMITOS, CA 90720 | AFLAC | $2 | — | $2 | 0.00% |
| CASSANDRA GREEN3 | 10541 CALLE LEE SUITE 125 LOAS ALAMITOS, CA 90720 | AFLAC | $2 | — | $2 | 0.00% |
| LAURA BENJUMEA3 Filed as: LAURA M BENJUMEA | 11152 WALLINGSFORD ROAD APT 5J LOS ALAMITOS, CA 90720 | AFLAC | $1 | — | $1 | 0.00% |
| HAROLD L STAFFORD3 | 5331 W HILLSBORO BOULEVARD APT 108 COCONUT CREEK, FL 33073 | AFLAC | $1 | — | $1 | 0.00% |
| MARK CHARLES ROSENTHAL3 Filed as: MARK C ROSENTHAL | 11813 IOWA AVENUE SUITE 2 LOS ANGELES, CA 90025 | TRANSAMERICA LIFE INSURANCE COMPANY | $1K | — | $1K | 8.40% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | TRANSAMERICA LIFE INSURANCE COMPANY | $801 | — | $801 | 5.60% |
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 | 422 | 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) | 422 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 333 | $1.6M |
| Dental | HEALTH NET | 333 | $1.5M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 129 | $9K |
| Life insurance | TRANSAMERICA LIFE INSURANCE COMPANY | 26 | $14K |
| Other(2 contracts, 2 carriers) | AFLAC | 128 | $97K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 333 | — |
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.