| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SALLY COKER3 | 6511 E. RENDINA STREET LONG BEACH, CA 90815 | KAISER FOUNDATION HEALTH PLAN | $42K | $2K | $44K | 2.69% |
| SALLY COKER3 | 6511 E. RENDINA STREET LONG BEACH, CA 90815 | DELTA DENTAL | $14K | $0 | $14K | 10.04% |
| SALLY COKER3 Filed as: SALLY I. COKER | 6511 E. RENDINA STREET LONG BEACH, CA 90815 | STANDARD INSURANCE COMPANY | $5K | $0 | $5K | 6.48% |
| SALLY COKER3 | 6511 E. RENDINA STREET LONG BEACH, CA 90815 | AFLAC | $2K | $0 | $2K | 2.85% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN HAJIMOMEN | 1561 E. ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $2K | $0 | $2K | 2.63% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN HAJIMOMEN | 1561 EAST ORAGNETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $2K | $25 | $2K | 2.42% |
| G SCOTT COOKE3 Filed as: G. SCOTT COOKE | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $1K | $10 | $1K | 1.46% |
| JOY E GUNDERSON3 Filed as: JOY GUNDERSON | 4531 VALLECITO LANE YORBA LINDA, CA 92886 | AFLAC | $1K | — | $1K | 1.32% |
| DANIEL G TABELLO3 Filed as: DANIEL TABELLO | 1461 SIERRA VISTA DRIVE LA HABRA, CA 90631 | AFLAC | $437 | $18 | $455 | 0.57% |
| TONYA SKURZYNSKI3 | 2321 E. 4TH STREET C535 SANTA ANA, CA 92705 | AFLAC | $435 | $0 | $435 | 0.55% |
| SALLY COKER3 | 6511 E. RENDINA STREET LONG BEACH, CA 90815 | DELTA DENTAL | $3K | $0 | $3K | 10.01% |
| SALLY COKER3 Filed as: SALLY I. COKER | 6511 E. RENDINA STREET LONG BEACH, CA 90815 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 10.89% |
| SALLY COKER3 Filed as: SALLY I. COKER | 6511 E. RENDINA STREET LONG BEACH, CA 90815 | STANDARD INSURANCE COMPANY | $2K | $0 | $2K | 10.20% |
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 | 301 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN | 220 | $1.6M |
| Dental(2 contracts) | DELTA DENTAL | 182 | $167K |
| Vision | STANDARD INSURANCE COMPANY | 141 | $23K |
| Life insurance | STANDARD INSURANCE COMPANY | 301 | $15K |
| Long-term disability | STANDARD INSURANCE COMPANY | 301 | $80K |
| Other | AFLAC | 94 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 301 | — |
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."
No prospect flags tripped on this filing.