| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMES-GRENZ INSURANCE SERVICES, INC.3 Filed as: AMES-GRENZ INSURANCE SERVICES, INC | 3435 AMERICAN RIVER DRIVE, SUITE C SACRAMENTO, CA 95864 | KAISER FOUNDATION HEALTH PLAN INC | $37K | — | $37K | 3.47% |
| FILICE INSURANCE AGENCY3 | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC | $15K | — | $15K | 1.41% |
| AMES-GRENZ INSURANCE SERVICES, INC.3 Filed as: AMES-GRENZ INSURANCE SERVICES, INC | 3435 AMERICAN RIVER DRIVE, SUITE C SACRAMENTO, CA 95864 | HEALTH NET | $21K | $9K | $30K | 4.98% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | HEALTH NET | $8K | — | $8K | 1.39% |
| AMES-GRENZ INSURANCE3 | 3435 AMERICAN RIVER DRIVE, SUITE C SACRAMENTO, CA 95864 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $7K | — | $7K | 4.75% |
| FILICE INSURANCE AGENCY3 | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $4K | — | $4K | 2.37% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | WESTERN HEALTH ADVANTAGE | $2K | — | $2K | 5.00% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | VISION SERVICE PLAN | $1K | — | $1K | 3.78% |
| AMES-GRENZ INSURANCE SERVICES, INC.3 Filed as: AMES-GRENZ INSURANCE SERVICES, INC | 3435 AMERICAN RIVER DRIVE, SUITE C SACRAMENTO, CA 95864 | VISION SERVICE PLAN | $1K | — | $1K | 3.44% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE | 111 WOODMERE ROAD, SUITE 290 FOLSOM, CA 95630 | SUTTER HEALTH PLAN | $423 | — | $423 | 5.00% |
| AMES-GRENZ INSURANCE SERVICES, INC.3 Filed as: AMES-GRENZ INSURANCE SERVICES | 3435 AMERICAN RIVER DRIVE, SUITE C SACRAMENTO, CA 95864 | SYMETRA LIFE INSURANCE COMPANY | $757 | — | $757 | 10.62% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | SYMETRA LIFE INSURANCE COMPANY | $317 | — | $317 | 4.45% |
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 | 209 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 360 | $1.7M |
| Dental | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 240 | $151K |
| Vision | VISION SERVICE PLAN | 272 | $32K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 315 | $7K |
| Prescription drug | SUTTER HEALTH PLAN | 23 | $8K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 315 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 360 | — |
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.