| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 12150 TRIBUTARY POINT DR STE 200 GOLD RIVER, CA 95670 | KAISER FOUNDATION HEALTH PLAN INC. | $82K | — | $82K | 4.60% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 2677 N MAIN STREET SUITE 800 SANTA ANA, CA 92705 | KAISER FOUNDATION HEALTH PLAN INC. | $33K | — | $33K | 1.84% |
| CLINTON POLLEY GROUP3 Filed as: CLINTON POLLEY GROUP, INC. | 12150 TRIBUTARY POINT DRIVE STE 2 GOLD RIVER, CA 95670 | PRINCIPAL LIFE INSURANCE COMPANY | $33K | — | $33K | 2.87% |
| ALLIANT INSURANCE SERVICES, INC.3 | 12150 TRIBUTARY POINT DRIVE SUITE 2 RANCHO CORDOVA, CA 95670 | PRINCIPAL LIFE INSURANCE COMPANY | $13K | — | $13K | 1.12% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET FL 6 SAN DIEGO, CA 92101 | VISION SERVICE PLAN | $2K | — | $2K | 0.70% |
| CLINTON POLLEY GROUP3 Filed as: CLINTON POLLY INSURANCE BROKERS | 12150 TRIBUTARY PT DR STE 200 GOLD RIVER, CA 95670 | VISION SERVICE PLAN | $2K | — | $2K | 0.67% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET FL 6 SAN DIEGO, CA 92101 | VISION SERVICE PLAN | $934 | — | $934 | 0.27% |
| CLINTON POLLEY GROUP3 Filed as: CLINTON POLLEY GROUP INC. | 12150 TRIBUTARY POINT DR. STE 200 GOLD RIVER, CA 95670 | SUN LIFE ASSURANCE COMPANY OF CANADA | $8K | — | $8K | 3.19% |
| ALLIANT INSURANCE SERVICES, INC.3 | 12150 TRIBUTARY POINT DRIVE SUITE 200 GOLD RIVER, CA 95670 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | — | $7K | 2.80% |
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 | 1,418 | 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) | 1,418 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 296 | $1.8M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 1,999 | $1.2M |
| Vision | VISION SERVICE PLAN | 1,131 | $349K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 599 | $255K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 599 | $255K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 599 | $255K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,999 | — |
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.