| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 3697 MT. DIABLO LAFAYETTE, CA 94549 | KAISER FOUNDATION HEALTH PLAN INC. | $22K | — | $22K | 2.54% |
| FILICE INSURANCE AGENCY3 | 900 E HAMILTON AVE. CAMPBELL, CA 95008 | KAISER FOUNDATION HEALTH PLAN INC. | $15K | $1 | $15K | 1.72% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT. DIABLO LAFAYETTE, CA 94549 | KAISER FOUNDATION HEALTH PLAN INC. | $3K | — | $3K | 0.31% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES | 353 N CLARK STREET CHICAGO, IL 60654 | KAISER FOUNDATION HEALTH PLAN INC. | $1K | — | $1K | 0.12% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 3697 MT. DIABLO LAFAYETTE, CA 94549 | KAISER FOUNDATION HEALTH PLAN INC. | $22K | — | $22K | 3.62% |
| FILICE INSURANCE AGENCY3 | 900 E HAMILTON AVE. CAMPBELL, CA 95008 | KAISER FOUNDATION HEALTH PLAN INC. | $8K | $1 | $8K | 1.39% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT. DIABLO LAFAYETTE, CA 94549 | KAISER FOUNDATION HEALTH PLAN INC. | $2K | — | $2K | 0.35% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT. DIABLO LAFAYETTE, CA 94549 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | $4K | $17K | 4.19% |
| FILICE INSURANCE AGENCY3 | 1150 MORAGA WAY MORAGA, CA 94556 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 1.17% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 3697 MT. DIABLO LAFAYETTE, CA 94549 | METROPOLITAN LIFE INSURANCE COMPANY | -$435 | $772 | $337 | 0.08% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT. DIABLO LAFAYETTE, CA 94549 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | $2K | $16K | 6.98% |
| FILICE INSURANCE AGENCY3 | 900 E HAMILTON AVE. CAMPBELL, CA 95008 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $11K | $2K | $13K | 5.91% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT. DIABLO LAFAYETTE, CA 94549 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $4K | — | $4K | 2.98% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INSURANCE SERVICES | 3697 MT. DIABLO LAFAYETTE, CA 94549 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 1.12% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 103129 PASADENA, CA 91189 | VISION SERVICE PLAN | $1K | — | $1K | 2.63% |
| FILICE INSURANCE AGENCY3 | 900 E HAMILTON AVE. CAMPBELL, CA 95008 | VISION SERVICE PLAN | $1K | — | $1K | 1.94% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT. DIABLO LAFAYETTE, CA 94549 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $443 | $3K | 7.38% |
| FILICE INSURANCE AGENCY3 | 900 E HAMILTON AVE. CAMPBELL, CA 95008 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $417 | $3K | 5.41% |
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 | 613 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 616 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 107 | $1.6M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 738 | $412K |
| Vision | VISION SERVICE PLAN | 392 | $55K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 613 | $273K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 613 | $227K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 613 | $227K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 107 | $1.6M |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 613 | $273K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 738 | — |
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.