| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | CALIFORNIA PHYSICIANS SERVICE | $0 | $135K | $135K | 4.29% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 91109 | KAISER FOUNDATION HEALTH PLAN, INC. | $42K | $0 | $42K | 4.72% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2185 NORTH CALIFORNIA BOULEVARD SUITE 400 WALNUT CREEK, CA 94596 | DELTA DENTAL OF CALIFORNIA | $12K | $0 | $12K | 5.00% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $21K | $7K | $28K | 15.93% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | VISION SERVICE PLAN | $2K | $0 | $2K | 4.58% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFITS ADVISORS | 12647 ALCOSTA BOULEVARD SAN RAMON, CA 94583 | LIFESECURE | $973 | $0 | $973 | 10.07% |
| ADVANCED LTC INSUR SVCS LLC3 Filed as: ADVANCED LTC INSURANCE SERVICE | PO BOX 261456 ENCINO, CA 91426 | LIFESECURE | $291 | $0 | $291 | 3.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 91109 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $788 | $0 | $788 | 8.34% |
| MELITA-MCDONALD INSURANCE SERVICES3 Filed as: MELITA INSURANCE AGENCY INC. | PO BOX 610520 SAN JOSE, CA 95161 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $635 | $0 | $635 | 6.72% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN AVENUE, 10TH FLOOR IRVINE, CA 92612 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $64 | $64 | 0.68% |
| MASOLI LEGACY LLC4 | 4319 BLENHEIM WAY CONCORD, CA 94521 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $672 | $0 | $672 | 9.74% |
| ALLIANT INSURANCE SERVICES, INC.4 | PO BOX 8299 PASADENA, CA 91109 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $243 | $0 | $243 | 3.52% |
| EDGEWOOD PARTNERS INSURANCE CENTER4 | PO BOX 5668 CONCORD, CA 94524 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $77 | $0 | $77 | 1.12% |
| MELITA-MCDONALD INSURANCE SERVICES4 Filed as: MELITA MCDONALD INSURANCE SERVICES | 50 WEST SAN FERNANDO STREET SUITE 1350 SAN JOSE, CA 95113 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $58 | $0 | $58 | 0.84% |
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 | 173 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 180 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS SERVICE | 269 | $4.0M |
| Dental | DELTA DENTAL OF CALIFORNIA | 392 | $237K |
| Vision | VISION SERVICE PLAN | 153 | $33K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 173 | $174K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 173 | $174K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 173 | $174K |
| Prescription drug(2 contracts, 2 carriers) | CALIFORNIA PHYSICIANS SERVICE | 269 | $4.0M |
| Other(5 contracts, 5 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 173 | $206K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 392 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.