| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GREGORY ALBIN3 Filed as: GREGORY J. ALBIN | P.O. BOX 1781 TEMECULA, CA 92590 | KAISER FOUNDATION HEALTH PLAN INC. | $11K | — | $11K | 0.77% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $5K | $1 | $5K | 0.32% |
| GREGORY ALBIN3 Filed as: GREGORY J. ALBIN | 2010 CROW CANYON PLACE SAN RAMON, CA 94583 | PRINCIPAL LIFE INSURANCE COMPANY | $23K | — | $23K | 5.02% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | PRINCIPAL LIFE INSURANCE COMPANY | $15K | — | $15K | 3.26% |
| RICHARD WENTZ3 | P.O. BOX 610 SANTA CLARA, CA 95052 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | — | $10K | 2.15% |
| GREGORY ALBIN3 Filed as: GREGORY J. ALBIN | 44220 SANDIA CREEK DRIVE TEMECULA, CA 92590 | SUTTER HEALTH PLAN | $3K | — | $3K | 0.55% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | SUTTER HEALTH PLAN | $1K | — | $1K | 0.31% |
| RICHARD WENTZ3 | 320 HOWARD DRIVE SANTA CLARA, CA 95051 | SUTTER HEALTH PLAN | $945 | — | $945 | 0.21% |
| GREGORY ALBIN3 Filed as: GREGORY J. ALBIN | 2010 CROW CANYON PLACE SAN RAMON, CA 94583 | WESTERN HEALTH ADVANTAGE | $1K | — | $1K | 0.26% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | WESTERN HEALTH ADVANTAGE | $636 | — | $636 | 0.15% |
| RICHARD WENTZ3 | P.O. BOX 610 SANTA CLARA, CA 95052 | WESTERN HEALTH ADVANTAGE | $459 | — | $459 | 0.11% |
| GREGORY ALBIN3 Filed as: GREGORY J. ALBIN | 2010 CROW CANYON PLACE SAN RAMON, CA 94583 | UNITED HEALTHCARE INSURANCE COMPANY | $6K | — | $6K | 1.55% |
| BEERE & PURVES INC3 Filed as: BEERE & PURVES INC. | 1350 TREAT BLVD. WALNUT CREEK, CA 94597 | UNITED HEALTHCARE INSURANCE COMPANY | $5K | — | $5K | 1.34% |
| RICHARD WENTZ3 | P.O. BOX 610 SANTA CLARA, CA 95052 | UNITED HEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 0.81% |
| GREGORY ALBIN3 Filed as: GREGORY J. ALBIN | 2010 CROW CANYON PLACE SAN RAMON, CA 94583 | CALIFORNIA PHYSICIANS SERVICE | $8K | — | $8K | 3.85% |
| ROGERS BENEFIT GROUP INC3 Filed as: RBG SAN JOSE | 6155 ALMADEN EXPY, SUITE 210 SAN JOSE, CA 95120 | CALIFORNIA PHYSICIANS SERVICE | — | $4K | $4K | 2.25% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | CALIFORNIA PHYSICIANS SERVICE | $2K | — | $2K | 1.15% |
| GREGORY ALBIN3 Filed as: GREGORY J. ALBIN | 2010 CROW CANYON PLACE SAN RAMON, CA 94583 | CALIFORNIA PHYSICIANS SERVICE | $3K | — | $3K | 2.40% |
| ROGERS BENEFIT GROUP INC3 Filed as: RBG SAN JOSE | 6155 ALMADEN EXPY, SUITE 210 SAN JOSE, CA 95120 | CALIFORNIA PHYSICIANS SERVICE | — | $2K | $2K | 2.11% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | CALIFORNIA PHYSICIANS SERVICE | $2K | — | $2K | 1.58% |
| RICHARD A. WENTZ3 | 1190 HOMESTEAD ROAD SANTA CLARA, CA 95050 | CALIFORNIA PHYSICIANS SERVICE | $1K | — | $1K | 1.03% |
| GREGORY ALBIN3 Filed as: GREGORY J. ALBIN | 2010 CROW CANYON PLACE SAN RAMON, CA 94583 | KAISER FOUNDATION HEALTH PLAN INC. | $881 | — | $881 | 3.36% |
| RICHARD WENTZ3 | P.O. BOX 610 SANTA CLARA, CA 95052 | KAISER FOUNDATION HEALTH PLAN INC. | $378 | — | $378 | 1.44% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $165 | — | $165 | 0.63% |
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 | 582 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 590 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 287 | $3.1M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 582 | $464K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 582 | $464K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 582 | $464K |
| Prescription drug(6 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 287 | $2.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 582 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.