| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MILESTONE INSURANCE BROKERS INC.3 Filed as: MILESTONE INSURANCE BROKERS, INC. | 8 CORPORATE PARK, SUITE 130 IRVINE, CA 92606 | KAISER FOUNDATION HEALTH PLAN INC. | $36K | — | $36K | 4.61% |
| BILL M. ROLLINS3 Filed as: BILL ROLLINS | 8 CORPORATE PARK, SUITE 130 IRVINE, CA 92606 | KAISER FOUNDATION HEALTH PLAN INC. | $3K | — | $3K | 0.41% |
| MILESTONE INSURANCE BROKERS INC.3 Filed as: MILESTONE INSURANCE BROKERS, INC. | 8 CORPORATE PARK, SUITE 130 IRVINE, CA 92606 | BLUE CROSS OF CALIFORNIA | $3K | — | $3K | 7.04% |
| BILL M. ROLLINS3 | 8 CORPORATE PARK, SUITE 130 IRVINE, CA 92606 | BLUE CROSS OF CALIFORNIA | $195 | — | $195 | 0.48% |
| MILESTONE INSURANCE BROKERS INC.3 Filed as: MILESTONE INSURANCE BROKERS, INC. | 8 CORPORATE PARK, SUITE 130 IRVINE, CA 92606 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $1K | — | $1K | 7.04% |
| BILL M. ROLLINS3 | 8 CORPORATE PARK, SUITE 130 IRVINE, CA 92606 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $87 | — | $87 | 0.48% |
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 | 101 | 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) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 191 | $774K |
| Dental | BLUE CROSS OF CALIFORNIA | 89 | $40K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 101 | $18K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 101 | $18K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 191 | $774K |
| Other | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 101 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 191 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.