| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RICHARD BULLARD3 | 2650 E. IMPERIAL HIGHWAY SUITE 205 BREA, CA 92821 | AMERICAN NATIONAL LIFE INSURANCE COMPANY OF TEXAS | $55K | — | $55K | 10.00% |
| RICK BULLARD3 | 2650 E. IMPERIAL HIGHWAY SUITE 205 BREA, CA 92821 | GUARDIAN | $18K | $3K | $21K | 15.79% |
| RICHARD BULLARD3 | 2650 E IMPERIAL HIGHWAY SUITE 205 BREA, CA 928216103 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 8.67% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS LIFE & HEALTH EIN 95-4331852 NONE | Contract Administrator; Claims processing Service code 12 | C/O NORCO INDUSTRIES 365 W VICTORIA ST COMPTON, CA 90220 | $94K |
| EBA&M CORPORATION EIN 95-2881702 NONE | Claims processing; Contract Administrator Service code 12 | C/O NORCO INDUSTRIES 365 W VICTORIA ST COMPTON, CA 90220 | $73K |
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 | 354 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AMERICAN NATIONAL LIFE INSURANCE COMPANY OF TEXAS | 340 | $551K |
| Dental | GUARDIAN | 354 | $131K |
| Vision | GUARDIAN | 354 | $131K |
| Life insurance | GUARDIAN | 354 | $131K |
| Long-term disability | GUARDIAN | 354 | $131K |
| Stop-loss / reinsurancereinsurance | AMERICAN NATIONAL LIFE INSURANCE COMPANY OF TEXAS | 340 | $551K |
| Other | GUARDIAN | 354 | $131K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 354 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.