| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS, LLC | 1850 GATEWAY DR, STE 600 SAN MATEO, CA 94404 | KAISER FOUNDATION HEALTH PLAN INC | $10K | $180 | $10K | 4.99% |
| ROBIN GAIL VAN VLIET3 | 303 ENTERPRISE CONCOURSE MILL VALLEY, CA 949414091 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 1.68% |
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS & INS. SVCS LLC | 1850 GATEWAY DRIVE, SUITE 600 SAN MATEO, CA 94404 | DELTA DENTAL OF CALIFORNIA | $12K | — | $12K | 10.00% |
| BEERE & PURVES INC3 Filed as: BEERE & PURVES, INC | 1350 TREAT BLVD STE 470 WALNUT CREEK, CA 945972153 | VISION SERVICE PLAN | $776 | — | $776 | 5.00% |
| SEQUOIA BENEFITS & INS SVCS LLC3 | 1850 GATEWAY DR, STE 600 SAN MATEO, CA 944044064 | VISION SERVICE PLAN | $549 | — | $549 | 3.54% |
| VAN VLIET WELLNESS & INS SLTNS3 Filed as: VAN VLIET WELLNESS & INS SOLUTIONS | 303 ENTERPRISE CONCOURSE MILL VALLEY, CA 949414091 | VISION SERVICE PLAN | $398 | — | $398 | 2.56% |
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS LLC | 1850 GATEWAY DR, STE 600 SAN MATEO, CA 94404 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.39% |
| VAN VLIET WELLNESS & INS SLTNS3 | 303 ENTERPRISE CONCOURSE MILL VALLEY, CA 94941 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $500 | — | $500 | 4.61% |
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS LLC | 1850 GATEWAY DR, STE 600 SAN MATEO, CA 94404 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 10.39% |
| VAN VLIET WELLNESS & INS SLTNS3 | 303 ENTERPRISE CONCOURSE MILL VALLEY, CA 94941 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $481 | — | $481 | 4.61% |
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS LLC | 1850 GATEWAY DR, STE 600 SAN MATEO, CA 94404 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $579 | — | $579 | 10.50% |
| VAN VLIET WELLNESS & INS SLTNS3 | 303 ENTERPRISE CONCOURSE MILL VALLEY, CA 94941 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $248 | — | $248 | 4.50% |
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 | 126 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 49 | $202K |
| Dental | DELTA DENTAL OF CALIFORNIA | 192 | $117K |
| Vision | VISION SERVICE PLAN | 119 | $16K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 123 | $6K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 123 | $11K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 123 | $10K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 49 | $202K |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 123 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 192 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.