| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RICO PFITZER PIRES EMPLOYEE BENEFIT3 | PO BOX 129 GUSTINE, CA 95322 | KAISER FOUNDATION HEALTH PLAN INC | $14K | — | $14K | 2.27% |
| RICO PFITZER PIRES EMPLOYEE BENEFIT3 | 207 5TH STREET GUSTINE, CA 95322 | BLUE SHIELD OF CALIFORNIA | $19K | — | $19K | 6.49% |
| RICO PFITZER PIRES EMPLOYEE BENEFIT3 | 207 5TH STREET GUSTINE, CA 95322 | HUMANA INSURANCE COMPANY | $3K | — | $3K | 4.58% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GRP INC - CORPORATE | 5110 N 40TH STREET, SUITE 234 PHOENIX, AZ 85018 | HUMANA INSURANCE COMPANY | $2K | — | $2K | 3.66% |
| RICO PFITZER PIRES EMPLOYEE BENEFIT3 Filed as: RICO, PFITZER, PIRES EMPLOYEE BNFTS | PO BOX 129 GUSTINE, CA 95322 | VISION SERVICE PLAN | $715 | — | $715 | 6.88% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS, LLC | 669 RIVER DRIVE CENTER II, SUITE 30 ELMWOOD RIVER, NJ 07407 | VISION SERVICE PLAN | $573 | — | $573 | 5.51% |
| RICO PFITZER PIRES EMPLOYEE BENEFIT3 | 207 5TH STREET GUSTINE, CA 95322 | HUMANADENTAL INSURANCE COMPANY | $83 | — | $83 | 4.96% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GRP INC - CORPORATE | 5110 N 40TH STREET, SUITE 234 PHOENIX, AZ 85018 | HUMANADENTAL INSURANCE COMPANY | $79 | — | $79 | 4.72% |
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 | 137 | 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) | 137 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 66 | $911K |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 64 | $67K |
| Vision | VISION SERVICE PLAN | 40 | $10K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 35 | $294K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 66 | — |
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."
No prospect flags tripped on this filing.