| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMES-GRENZ INSURANCE SERVICES, INC.3 | 3435 AMERICAN RIVER DR STE C SACRAMENTO, CA 95864 | KAISER FOUNDATION HEALTH PLAN INC. | $13K | $0 | $13K | 1.89% |
| AMES-GRENZ INSURANCE SERVICES, INC.3 | 3435 AMERICAN RIVER DR STE C SACRAMENTO, CA 95864 | WESTERN HEALTH ADVANTAGE | $22K | — | $22K | 5.00% |
| AMES-GRENZ INSURANCE SERVICES, INC.3 | 3435 AMERICAN RIVER DR STE C SACRAMENTO, CA 95864 | PREMIER ACCESS INSURANCE COMPANY | $3K | — | $3K | 25.04% |
| AMES-GRENZ INSURANCE SERVICES, INC.3 | 3435 AMERICAN RIVER DR STE C SACRAMENTO, CA 95864 | METROPOLITAN LIFE INSURANCE COMPANY | $555 | — | $555 | 5.11% |
| DENTAL MARKETS INC3 | 2595 BATON DR #14 RENO, NV 89521 | METROPOLITAN LIFE INSURANCE COMPANY | $410 | — | $410 | 3.78% |
| OWEN AND COMPANY3 Filed as: OWEN & CO | 1455 RESPONSE RD STE 260 SACRAMENTO, CA 95815 | METROPOLITAN LIFE INSURANCE COMPANY | $30 | — | $30 | 0.28% |
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 | 247 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 247 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 152 | $1.1M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 182 | $14K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 247 | $11K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 247 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 247 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.