| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GCG FINANCIAL LLC3 Filed as: DAVIDSON BENEFITS AN ALERA AGENCY | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | KAISER FOUNDATION HEALTH PLAN INC REGION CA | $921 | — | $921 | 0.06% |
| GCG FINANCIAL LLC3 Filed as: DAVIDSON BENEFITS AN ALERA AGENCY | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $2K | — | $2K | 0.18% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE DBA BENEFITMALL | 2111 E HIGHLAND AVE UNIT B210 PHOENIX, AZ 85016 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $81K | $45K | $125K | 15.55% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE DBA BENEFITMALL | 2111 E HIGHLAND AVE UNIT B210 PHOENIX, AZ 85016 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $35K | $22K | $56K | 16.19% |
| BENEFITMALL3 Filed as: CORNERSTONE DBA BENEFITMALL | 2111 E HIGHLAND AVE UNIT B210 PHOENIX, AZ 85016 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $47K | $19K | $66K | 21.12% |
| GCG FINANCIAL LLC3 Filed as: DAVIDSON BENEFITS AN ALERA AGENCY | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | EYEMED VISION CARE | $14K | — | $14K | 4.93% |
| GCG FINANCIAL LLC3 Filed as: DAVIDSON BENEFITS AN ALERA AGENCY | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $592 | — | $592 | 0.24% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE DBA BENEFITMALL | 2111 E HIGHLAND AVE UNIT B210 PHOENIX, AZ 85016 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $23K | $14K | $37K | 16.11% |
| BENEFITMALL3 Filed as: CORNERSTONE DBA BENEFITMALL | 2111 E HIGHLAND AVE UNIT B210 PHOENIX, AZ 85016 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $19K | $8K | $27K | 21.18% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE DBA BENEFITMALL | 2111 E HIGHLAND AVE UNIT B210 PHOENIX, AZ 85016 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $9K | $5K | $14K | 16.13% |
| GCG FINANCIAL LLC3 Filed as: DAVIDSON BENEFITS AN ALERA AGENCY | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | METLIFE LEGAL PLANS | $6K | $1K | $7K | 12.85% |
| BUSINESSSOLVER.COM, INC.3 Filed as: BUSINESSSOLVER DOT COM INC | 1025 ASHWORTH ROAD WEST DES MOINES, IA 50265 | METLIFE LEGAL PLANS | — | $291 | $291 | 0.52% |
| GCG FINANCIAL LLC3 Filed as: DAVIDSON BENEFITS AN ALERA AGENCY | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $19 | — | $19 | 0.10% |
| GCG FINANCIAL LLC3 Filed as: DAVIDSON BENEFITS AN ALERA AGENCY | 7632 SW DURHAM RD STE 115 TIGARD, OR 97224 | EYEMED VISION CARE | $75 | — | $75 | 5.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHCARE MANAGEMENT ADMINISTRATOR EIN 91-1333840 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $669K |
| TRI-AD - A DIVISION OF NAVIA BENE EIN 91-1467758 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $419K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $149K |
| AETNA BEHAVORIAL HEALTH EIN 20-0446713 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $54K |
| RX BENEFITS EIN 63-1157085 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $31K |
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 | 2,618 | 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) | 2,618 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN INC REGION CA | 767 | $5.1M |
| Dental | HAWAII MEDICAL SERVICE ASSOCIATION | 16 | $191K |
| Vision(3 contracts, 2 carriers) | EYEMED VISION CARE | 3,924 | $468K |
| Life insurance(2 contracts) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 3,728 | $1.0M |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 697 | $126K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 4,438 | $349K |
| Prescription drug(8 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN INC REGION CA | 272 | $4.8M |
| Other(5 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 3,728 | $693K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,438 | — |
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."
No prospect flags tripped on this filing.