| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | AETNA | $12K | — | $12K | 1.93% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2185 NORTH CALIF BOULEVARD SUITE 400 WALNUT CREEK, CA 94596 | AETNA | $10K | — | $10K | 1.59% |
| LIBERTY COMPANY INSURANCE BROKERS3 Filed as: LIBERTY COMPANY INS. BROKERS, INC. | 5955 DE SOTO AVENUE, SUITE 250 WOODLAND HILLS, CA 91367 | AETNA | $9K | — | $9K | 1.48% |
| BEERE & PURVES INC3 Filed as: BEERE & PURVES, INC. | UNKNOWN SAN RAMON, CA 94583 | AETNA | $5K | — | $5K | 0.74% |
| STONE HILL & ASSOC INS BRK INC3 Filed as: STONE HILL & ASSOC. INS. BRK., INC. | 257 EAST 200 SOUTH, SUITE 750 SALT LAKE CITY, UT 84111 | SELECTHEALTH | $5K | $945 | $6K | 2.37% |
| VENTRIS, LLC3 | 10913 SOUTH RIVER FRONT PARKWAY SUITE 100 SOUTH JORDAN, UT 84095 | SELECTHEALTH | $2K | $440 | $2K | 0.91% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 91109 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | $0 | $7K | 3.09% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN, INC. | $6K | $0 | $6K | 2.47% |
| LIBERTY COMPANY INSURANCE BROKERS3 Filed as: LIBERTY COMPANY INS. BROKERS, INC. | 5955 DE SOTO AVENUE, SUITE 250 WOODLAND HILLS, CA 91367 | KAISER FOUNDATION HEALTH PLAN, INC. | $6K | $0 | $6K | 2.41% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, LLC | 8235 FORSYTH BOULEVARD, SUITE 1200 CLAYTON, MO 63105 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $2K | $5K | 6.15% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2185 NORTH CALIF BOULEVARD SUITE 400 WALNUT CREEK, CA 94596 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 4.74% |
| LIBERTY COMPANY INSURANCE BROKERS3 Filed as: LIBERTY COMPANY INS. BROKERS, INC. | 5955 DE SOTO AVENUE, SUITE 250 WOODLAND HILLS, CA 91367 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 3.86% |
| CENTRO BENEFITS RESEARCH LLC3 Filed as: CENTRO BENEFITS RESEARCH, LLC | 200 GALLERIA PARKWAY SE, SUITE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | — | $1K | $1K | 1.48% |
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 | 97 | 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) | 97 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA | 58 | $1.1M |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 162 | $85K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 162 | $85K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 162 | $85K |
| Prescription drug(3 contracts, 3 carriers) | AETNA | 58 | $1.1M |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 162 | $85K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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.