| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONSTOP ADMINISTRATION & INSURANCE3 Filed as: NONSTOP ADMINISTRATION AND | INSURANCE SERVICES INC 2300 CLAYTON RD STE 1450 CONCORD, CA 945202146 | KAISER FOUNDATION HEALTH PLAN INC | $21K | — | $21K | 2.69% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BLVD SUITE 600 GLENDALE, CA 91203 | KAISER FOUNDATION HEALTH PLAN INC | $13K | — | $13K | 1.57% |
| NONSTOP ADMINISTRATION & INSURANCE3 Filed as: NONSTOP ADMINISTRATION AND | INSURANCE SERVICES INC 2300 CLAYTON RD #1450 CONCORD, CA 94520 | SUN LIFE ASSURANCE COMPANY OF CANADA | $2K | — | $2K | 7.20% |
| NONSTOP ADMINISTRATION & INSURANCE3 Filed as: NONSTOP ADMINSITRATION AND | INSURANCE SERVICE INC. 2300 CLAYTON ROAD SUITE 1450 CONCORD, CA 94520 | SUN LIFE ASSURANCE COMPANY OF CANADA | $1K | — | $1K | 5.00% |
| MGIS3 | 10 WEST BROADWAY, SUITE 800 SALT LAKE CITY, UT 841012100 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $195 | $195 | 0.70% |
| NONSTOP ADMINISTRATION & INSURANCE3 | SERVICES 2300 CLAYTON RD. #1450 CONCORD, CA 94520 | EYEMED VISION CARE | $2K | — | $2K | 10.09% |
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 | 200 | 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) | 200 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 177 | $799K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 37 | $33K |
| Vision | EYEMED VISION CARE | 240 | $21K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 189 | $28K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 189 | $28K |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 189 | $28K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 240 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.