| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN ST 21ST FLOOR SAN FRANCISCO, CA 94105 | CALIFORNIA PHYSICIAN'S SERVICE | — | $43K | $43K | 4.74% |
| WELDON G KERR3 | RBG SAN JOSE 6155 ALMADEN EXPWY#210 SAN JOSE, CA 95120 | CALIFORNIA PHYSICIAN'S SERVICE | $17K | — | $17K | 1.89% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 941042215 | KAISER FOUNDATION HEALTH PLAN, INC. | $17K | — | $17K | 4.56% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 94104 | DELTA DENTAL OF CALIFORNIA | $11K | — | $11K | 10.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD STE 800 CONCORD, CA 94520 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $51 | $9K | 11.32% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GRP INC | 2502 N ROCKY POINT DR STE 310 TAMPA, FL 33607 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 6.31% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GRP INC | 5110 N 40TH ST STE 234 PHOENIX, AZ 85018 | METROPOLITAN LIFE INSURANCE COMPANY | $340 | — | $340 | 0.44% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST STE 2400 SAN FRANCISCO, CA 941042215 | KAISER FOUNDATION HEALTH PLAN, INC. | $456 | — | $456 | 3.04% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP | 5110 N 40TH ST STE 234 PHOENIX, AR 850182151 | VISION SERVICE PLAN | $714 | — | $714 | 4.97% |
| INTEGRO INSURANCE BROKERS3 Filed as: EPIC INSURANCE BROKERS & CONSULTANT | 10877 WHITE ROCK ROAD SUITE 300 RANCHO CORDOVA, CA 95670 | HOLMAN FAMILY COUNSELING, INC. | $90 | — | $90 | 4.99% |
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 | 165 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 179 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | CALIFORNIA PHYSICIAN'S SERVICE | 158 | $1.3M |
| Dental | DELTA DENTAL OF CALIFORNIA | 191 | $114K |
| Vision | VISION SERVICE PLAN | 84 | $14K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 237 | $77K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 237 | $77K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 237 | $77K |
| Prescription drug(3 contracts, 2 carriers) | CALIFORNIA PHYSICIAN'S SERVICE | 158 | $1.3M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 237 | $79K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 237 | — |
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.