| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | KAISER FOUNDATION HEALTH PLAN INC | $63K | $0 | $63K | 3.05% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES, INC. | 10800 ALPHARETTA HIGHWAY SUITE 208 #784 ROSWELL, GA 30076 | KAISER FOUNDATION HEALTH PLAN INC | $26K | $0 | $26K | 1.28% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE, INC. | $24K | $0 | $24K | 2.45% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES, INC. | 10800 ALPHARETTA HIGHWAY SUITE 208 #784 ROSWELL, GA 30076 | ROCKY MOUNTAIN HOSPITAL & MEDICAL SERVICE, INC. | $13K | $0 | $13K | 1.32% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 14216 DAYTON CIRCLE, SUITE 108 OMAHA, NE 68137 | PRINCIPAL LIFE INSURANCE COMPANY | $12K | $0 | $12K | 5.39% |
| USI INSURANCE SERVICES LLC3 | 3247 WEST MARCH LANE, SUITE 210 STOCKTON, CA 95219 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | $0 | $7K | 3.01% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES, INC. | 10800 ALPHARETTA HIGHWAY SUITE 208 #784 ROSWELL, GA 30076 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 0.62% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | STANDARD INSURANCE COMPANY | $8K | $0 | $8K | 11.22% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES, INC. | 10800 ALPHARETTA HIGHWAY SUITE 208, BOX 784 ROSWELL, GA 30076 | STANDARD INSURANCE COMPANY | $3K | $0 | $3K | 3.78% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 5668 CONCORD, CA 94524 | STANDARD INSURANCE COMPANY | $0 | $1K | $1K | 1.84% |
| UNKNOWN3 | UNKNOWN SACRAMENTO, CA 95811 | WESTERN DENTAL SERVICES, INC | $3K | $0 | $3K | 6.31% |
| USI INSURANCE SERVICES LLC3 | 10940 WHITE ROCK ROAD, 2ND FLOOR RANCHO CORDOVA, CA 95670 | AMERITAS LIFE INSURANCE CORPORATION | $4K | $0 | $4K | 12.27% |
| DECISELY INSURANCE SERVICES INC3 Filed as: DECISELY INSURANCE SERVICES, INC. | 10800 ALPHARETTA HIGHWAY SUITE 208 #784 ROSWELL, GA 30076 | AMERITAS LIFE INSURANCE CORPORATION | $921 | $0 | $921 | 2.73% |
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 | 908 | 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) | 908 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 343 | $3.1M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 405 | $269K |
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 475 | $34K |
| Life insurance | STANDARD INSURANCE COMPANY | 886 | $67K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 343 | $3.1M |
| Other | STANDARD INSURANCE COMPANY | 886 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 886 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.