| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GDI INSURANCE AGENCY, INC.3 Filed as: GDI INSURANCE AGENCY | 801 GREER ROAD TURLOCK, CA 95380 | KAISER FOUNDATION HEALTH PLAN, INC. | $66K | $0 | $66K | 5.67% |
| GDI INSURANCE AGENCY, INC.3 Filed as: GDI INSURANCE AGENCY | 801 GREER ROAD TURLOCK, CA 95380 | STARMOUNT LIFE INSURANCE COMPANY | $19K | $0 | $19K | 9.26% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 5114 POINT FOSDICK DRIVE, SUITE F41 GIG HARBOR, WA 98335 | STARMOUNT LIFE INSURANCE COMPANY | $0 | $9K | $9K | 4.54% |
| GDI INSURANCE AGENCY, INC.3 Filed as: GDI INSURANCE AGENCY | 801 GREER ROAD TURLOCK, CA 95380 | UNITEDHEALTHCARE INSURANCE COMPANY | $10K | $0 | $10K | 4.93% |
| GDI INSURANCE AGENCY, INC.3 Filed as: GDI INSURANCE AGENCY | 801 GREER ROAD TURLOCK, CA 95380 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $0 | $8K | 10.24% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES | 5114 POINT FOSDICK DRIVE, SUITE F41 GIG HARBOR, WA 98335 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $3K | $3K | 4.49% |
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 | 302 | 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) | 302 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 254 | $1.4M |
| Dental | STARMOUNT LIFE INSURANCE COMPANY | 234 | $209K |
| Vision | STARMOUNT LIFE INSURANCE COMPANY | 234 | $209K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 302 | $76K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 254 | $1.4M |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 302 | $76K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 302 | — |
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.