| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TAYLOR BENEFITS INSURANCE AGENCY3 | 4820 HARWOOD RD STE 130 SAN JOSE, CA 95124 | KAISER FOUNDATION HEALTH PLAN INC | $42K | — | $42K | 5.81% |
| TAYLOR BENEFITS INSURANCE AGENCY3 | 2242 CORONET DR SAN JOSE, CA 95124 | AETNA LIFE INSURANCE CO | $19K | — | $19K | 4.91% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH ST SUITE 234 PHOENIX, AZ 85018 | AETNA LIFE INSURANCE CO | $8K | — | $8K | 1.97% |
| TAYLOR BENEFITS INSURANCE AGENCY3 | 15466 LOS GATOS BLVD SUITE 109-31 LOS GATOS, CA 95032 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 7.19% |
| TAYLOR BENEFITS INSURANCE AGENCY3 | 2242 CORONET DR SAN JOSE, CA 95124 | AETNA HEALTH, INC | $6K | — | $6K | 47.09% |
| ROGERS BENEFIT GROUP INC3 | 5110 N 40TH ST SUITE 234 PHOENIX, AZ 85018 | AETNA HEALTH, INC | $3K | — | $3K | 20.29% |
| TAYLOR BENEFITS INSURANCE AGENCY3 | 4820 HARWOOD RD SAN JOSE, CA 95124 | EYEMED VISION CARE | $1K | — | $1K | 9.82% |
| JOHNSON RESOURCES3 | 7373 E DOUBLETREE RANCH #200 SCOTTSDALE, AZ 85258 | EYEMED VISION CARE | — | $205 | $205 | 1.96% |
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 | 174 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 213 | $1.1M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 174 | $137K |
| Vision | EYEMED VISION CARE | 199 | $10K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 174 | $137K |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 174 | $137K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.