| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LUMITY, INC.3 Filed as: LUMITY INC. | 71 EAST 3RD AVENUE SAN MATEO, CA 94401 | BLUE CROSS OF CALIFORINA | $152K | $2K | $154K | 5.23% |
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS LLC | 499 SEAPORT COURT, SUITE 300 REDWOOD CITY, CA 94063 | BLUE CROSS OF CALIFORINA | $100 | $0 | $100 | 0.00% |
| LUMITY, INC.3 Filed as: LUMITY INC. | 71 EAST 3RD AVENUE SAN MATEO, CA 94401 | KAISER FOUNDATION HEALTH PLAN INC | $20K | $2K | $22K | 5.02% |
| SEQUOIA BENEFITS & INS SVCS LLC3 Filed as: SEQUOIA BENEFITS LLC | 1850 GATEWAY DRIVE, SUITE 700 SAN MATEO, CA 94404 | KAISER FOUNDATION HEALTH PLAN INC | $2K | $19 | $2K | 0.45% |
| ABD INS. AND FINANCIAL SVCS., INC.3 Filed as: ABD INSURANCE AND FIN. SVCS., INC. | 3 WATERS PARK DRIVE, SUITE 100 SAN MATEO, CA 94403 | KAISER FOUNDATION HEALTH PLAN INC | $0 | $1K | $1K | 0.29% |
| LUMITY, INC.3 Filed as: LUMITY INC. | PO BOX 207733 DALLAS, TX 75320 | METROPOLITAN LIFE INSURANCE COMPANY | $25K | $57 | $25K | 10.02% |
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 | 234 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 239 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORINA | 450 | $3.4M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $252K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 447 | $252K |
| Life insurance | BLUE CROSS OF CALIFORINA | 450 | $2.9M |
| Short-term disability | BLUE CROSS OF CALIFORINA | 450 | $2.9M |
| Long-term disability | BLUE CROSS OF CALIFORINA | 450 | $2.9M |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORINA | 450 | $3.4M |
| Other | BLUE CROSS OF CALIFORINA | 450 | $2.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 450 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.