| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ABD INS. AND FINANCIAL SVCS., INC.3 Filed as: ABD INS AND FINANCIAL SVCS, INC. | 777 MARINERS ISLAND BLVD,STE 250 SAN MATEO, CA 94404 | BLUE CROSS OF CALIFORNIA | $23K | — | $23K | 3.26% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS SERVICES INC. | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | BLUE CROSS OF CALIFORNIA | — | $13K | $13K | 1.90% |
| RIPPLING INSURANCE SERVICES INC3 Filed as: RIPPLING INSURANCE SVCS INC | 2443 FILLMOREST 380 736 SAN FRANCISCO, CA 94115 | BLUE CROSS OF CALIFORNIA | $10K | — | $10K | 1.49% |
| NAMELY EMPLOYEE BENEFITS, LLC3 Filed as: NAMELY EMPLOYEE BENEFITS LLC | 195 BROADWAY FL 15 NEW YORK, NY 10007 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | — | $4K | 4.11% |
| RIPPLING INSURANCE SERVICES INC3 Filed as: RIPPLING INSURANCE SVCS INC | 300 S DUVAL ST, STE 410 TALLAHASSEE, FL 32301 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 1.47% |
| THOMPSON RISK II, LLC3 Filed as: THOMPSON RISK, LLC | 2590NORTHBROOKE PLAZA DR STE 20T NAPLES, FL 34119 | PRINCIPAL LIFE INSURANCE COMPANY | $415 | — | $415 | 0.38% |
| NAMELY EMPLOYEE BENEFITS, LLC3 Filed as: NAMELY EMPLOYEE BENEFITS LLC | 195 BRAODWAY FL 15 NEW YORK NY, NY 10007 | KAISER FOUNDATION HEALTH PLAN INC | $1K | — | $1K | 3.19% |
| NAMELY EMPLOYEE BENEFITS, LLC3 Filed as: NAMELY EMPLOYEE BENEFITS LLC | 35 PARKWOOD DR STE 200 HOPKINTON, MA 07148 | KAISER FOUNDATION HEALTH PLAN INC | $1K | — | $1K | 3.54% |
| RIPPLING INSURANCE SERVICES INC3 Filed as: RIPPLING INSURANCE SVCS INC | 300 S DUVAL ST, STE 410 TALLAHASSEE, FL 32301 | KAISER FOUNDATION HEALTH PLAN INC | $661 | — | $661 | 1.94% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INS SVCS INC | 2300 CONTRA COSTA BLVD PLEASANT HILL, CA 94523 | KAISER FOUNDATION HEALTH PLAN INC - HAWAII | $51 | — | $51 | 3.00% |
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 | 87 | 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) | 87 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 67 | $768K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 79 | $109K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 79 | $109K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 79 | $109K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 79 | $109K |
| Prescription drug(4 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 67 | $768K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 79 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 79 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.