| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE SERVICES, LLC | 1130 HUNTER DRIVE MOUNT PLEASANT, WI 53406 | KAISER FOUNDATION HEALTH PLAN INC | $30K | $0 | $30K | 4.80% |
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE SERVICES, LLC | 8700 EAST PINNACLE PEAK ROAD SCOTTSDALE, AZ 85255 | PREMIER ACCESS INSURANCE COMPANY | $4K | $0 | $4K | 6.11% |
| BALTOR INSURANCE SERVICES3 | 165 GRAMERCY DRIVE SAN MATEO, CA 94402 | AFLAC | $2K | $0 | $2K | 5.84% |
| JOSEPH J. FOGEL3 | 2390 31ST AVENUE, APARTMENT 104 SAN FRANCISCO, CA 94116 | AFLAC | $2K | $166 | $2K | 4.60% |
| SCOTT DAVID MORRISSETT3 | 601 MONTGOMERY STREET, SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $1K | $0 | $1K | 3.31% |
| BALTOR INSURANCE SERVICES3 | 11 AIRPORT BOULEVARD, SUITE 105 SOUTH SAN FRANCISCO, CA 94080 | AFLAC | $886 | $266 | $1K | 2.88% |
| WALTER O. PECCORINI3 Filed as: WALTER O PECCORINI AND OTHER AGENTS | 1031 MCHENRY AVENUE, SUITE 20 MODESTO, CA 95350 | AFLAC | $1K | $0 | $1K | 2.51% |
| KRISTINA J KUNZ3 Filed as: KRISTINA J. KUNZ | 118 GRANVILLE WAY SAN FRANCISCO, CA 94127 | AFLAC | $688 | $72 | $760 | 1.90% |
| JULIA ATKINS3 | 165 GRAMERCY DRIVE SAN MATEO, CA 94402 | AFLAC | $337 | $0 | $337 | 0.84% |
| JOHNSON INSURANCE SERVICES LLC3 Filed as: JOHNSON INSURANCE SERVICES, LLC | 1130 HUNTER DRIVE MOUNT PLEASANT, WI 53406 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $115 | $1K | 14.76% |
| LEGAL COMPLIANCE SYSTEMS, LLC4 | PO BOX 16372 PHOENIX, AZ 85011 | PRE-PAID LEGAL SERVICES, INC. DBA LEGAL SHIELD | $516 | $0 | $516 | 9.70% |
| JOHNSON INSURANCE SERVICES LLC4 Filed as: JOHNSON INSURANCE SERVICES, LLC | 1130 HUNTER DRIVE MOUNT PLEASANT, WI 53406 | PRE-PAID LEGAL SERVICES, INC. DBA LEGAL SHIELD | $328 | $0 | $328 | 6.17% |
| SANDRA MORGAN4 | 2727 EAST UNIVERSITY DRIVE, LOT 1 TEMPE, AZ 85281 | PRE-PAID LEGAL SERVICES, INC. DBA LEGAL SHIELD | $190 | $0 | $190 | 3.57% |
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 | 146 | 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) | 146 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 106 | $631K |
| Dental(2 contracts, 2 carriers) | PREMIER ACCESS INSURANCE COMPANY | 147 | $98K |
| Vision(2 contracts, 2 carriers) | PREMIER ACCESS INSURANCE COMPANY | 147 | $98K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 153 | $48K |
| Short-term disability | AFLAC | 35 | $40K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 106 | $631K |
| Other(3 contracts, 3 carriers) | AFLAC | 153 | $54K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 153 | — |
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.