| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: JOHNSON & DUGAN INSURANCE SERVICES | 1350 BAYHSORE HIGHWAY, STE. 328 BURLINGAME, CA 94010 | KAISER PERMANENTE | $7K | $0 | $7K | 2.92% |
| ASSUREDPARTNERS3 Filed as: JOHNSON & DUGAN INSURANCE SERVICES | 1350 BAYSHORE HIGHWAY, STE 328 BURLINGAME, CA 94010 | ANTHEM BLUE CROSS OF CALIFORNIA | $12K | $0 | $12K | 6.57% |
| ASSUREDPARTNERS3 Filed as: JOHNSON & DUGAN INSURANCE SERVICES | 1350 BAYSHORE HIGHWAY, STE. 328 BURLINGAME, CA 94010 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.82% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE FIN SERVICES | 12404 PARK CENTRAL DR., STE. 400S DALLAS, TX 752511800 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $119 | $1K | 3.24% |
| BENEFITMALL3 Filed as: BENEFITMALL HOLDING INC DBA DKG INS | 12404 PARK CENTRAL DR., STE. 400S DALLAS, TX 752511800 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $35 | $35 | 0.09% |
| ASSUREDPARTNERS3 Filed as: JOHNSON & DUGAN INSURANCE SERVICES | 1350 BAYSHORE HIGHWAY, STE. 328 BURLINGAME, CA 94010 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $185 | $2K | 8.62% |
| ASSUREDPARTNERS3 Filed as: JOHNSON & DUGAN INSURANCE SERVICES | 1350 BAYSHORE HIGHWAY, STE. 328 BURLINGAME, CA 94010 | KAISER PERMANENTE | $351 | $0 | $351 | 3.00% |
| ASSUREDPARTNERS3 Filed as: JOHNSON & DUGAN INSURANCE SERVICES | 1350 BAYSHORE HIGHWAY, STE. 328 BURLINGAME, CA 94010 | VISION SERVICE PLAN | $340 | $0 | $340 | 3.27% |
| ASSUREDPARTNERS3 Filed as: JOHNSON & DUGAN INSURANCE SERVICES | 1350 BAYSHORE HIGHWAY, STE. 328 BURLINGAME, CA 94010 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $45 | $0 | $45 | 9.74% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS FINANCIAL SERVICES | 12404 PARK CENTRAL DR., STE. 400S DALLAS, TX 751511800 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $18 | $1 | $19 | 4.11% |
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 | 139 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER PERMANENTE | 71 | $427K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 310 | $37K |
| Vision | VISION SERVICE PLAN | 130 | $10K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 139 | $25K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 139 | $25K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 139 | $25K |
| Prescription drug(3 contracts, 2 carriers) | KAISER PERMANENTE | 71 | $427K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 139 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 310 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.