| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 2300 RENAISSANCE BOULEVARD KING OF PRUSSIA, PA 19406 | BLUE CROSS OF CALIFORNIA | $40K | $0 | $40K | 3.19% |
| SALLY COKER3 | 38275 NORTH 103RD PLACE SCOTTSDALE, AZ 85262 | BLUE CROSS OF CALIFORNIA | $8K | $0 | $8K | 0.64% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | PO BOX 85638 SAN DIEGO, CA 92186 | STANDARD INSURANCE COMPANY | $18K | $2K | $20K | 14.56% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 1 POLARIS WAY, SUITE 300 ALISO VIEJO, CA 92656 | DELTA DENTAL OF CALIFORNIA | $13K | $0 | $13K | 10.53% |
| JONATHON ALI HAJIMOMEN3 | 1561 EAST ORANGETHORPE AVENUE SUITE 200 FULLERTON, CA 92831 | AFLAC | $1K | $0 | $1K | 3.09% |
| PHILIP S. GLEASON3 | 1234 NORTH LA BREA AVENUE APARTMENT 330 WEST HOLLYWOOD, CA 90038 | AFLAC | $736 | $0 | $736 | 2.20% |
| SALLY COKER3 Filed as: SALLY INGRAM COKER | 38275 NORTH 103RD PLACE SCOTTSDALE, AZ 85262 | AFLAC | $711 | $0 | $711 | 2.13% |
| JOY E GUNDERSON3 Filed as: JOY E. GUNDERSON | 4531 VALLECITO LANE YORBA LINDA, CA 92886 | AFLAC | $331 | $0 | $331 | 0.99% |
| MJ INSURANCE3 Filed as: TONYA SKURZYNSKI AND VARIOUS AGENTS | 1800 NORTH BRISTOL STREET, C435 SANTA ANA, CA 92706 | AFLAC | $276 | $0 | $276 | 0.83% |
| G SCOTT COOKE3 Filed as: G. SCOTT COOKE | 2832 NE 17TH AVENUE WILTON MANORS, FL 33334 | AFLAC | $263 | $0 | $263 | 0.79% |
| TABELLO INS SERVICES INC3 Filed as: TABELLO INS SERVICES, INC. | 1461 SIERRA VISTA DRIVE LA HABRA, CA 90631 | AFLAC | $193 | $0 | $193 | 0.58% |
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 | 273 | 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) | 273 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 212 | $1.3M |
| Dental | DELTA DENTAL OF CALIFORNIA | 140 | $120K |
| Vision | STANDARD INSURANCE COMPANY | 303 | $138K |
| Life insurance | STANDARD INSURANCE COMPANY | 303 | $138K |
| Long-term disability | STANDARD INSURANCE COMPANY | 303 | $138K |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 212 | $1.3M |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 303 | $172K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 303 | — |
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.