| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES | 3700 MANSELL ROAD, SUITE 400 ALPHARETTA, GA 30022 | KAISER FOUNDATION HEALTH PLAN INC. | $68K | $0 | $68K | 5.46% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES, INC. | 3700 MANSELL ROAD, SUITE 400 ALPHARETTA, GA 30022 | ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE, INC. | $29K | $0 | $29K | 4.57% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES | 3700 MANSELL ROAD, SUITE 400 ALPHARETTA, GA 30022 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 3.82% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP | 5110 N. 40TH STREET PHOENIZ, AZ 85018 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 3.60% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES | 1700 MONTGOMERY STREET SAN FRANCISCO, CA 94111 | STANDARD INSURANCE COMPANY | $10K | $0 | $10K | 16.21% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 5668 CONCORD, CA 94524 | STANDARD INSURANCE COMPANY | $0 | $978 | $978 | 1.58% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES | 3700 MANSELL ROAD, SUITE 400 ALPHARETTA, GA 30022 | WESTERN DENTAL SERVICES, INC. | $4K | $0 | $4K | 10.00% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES | 2000 ALAMEDA DE LAS PULGAS SAN MATEO, CA 94403 | AMERITAS LIFE INSURANCE CORP. | $3K | $59 | $3K | 15.26% |
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 | 724 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 726 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 278 | $1.9M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 142 | $201K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 134 | $23K |
| Life insurance | STANDARD INSURANCE COMPANY | 724 | $62K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 278 | $1.9M |
| Other | STANDARD INSURANCE COMPANY | 724 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 724 | — |
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.