| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1501 4TH AVENUE, SUITE 2400 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN INC | $34K | $0 | $34K | 2.47% |
| LOCKTON COMPANIES, LLC3 | 725 SOUTH FIGUEROA STREET 35TH FLOOR LOS ANGELES, CA 90017 | KAISER FOUNDATION HEALTH PLAN INC | $23K | $0 | $23K | 1.70% |
| HRIS INSURANCE SERVICES3 | 15840 VENTURA BOULEVARD, SUITE 205 ENCINO, CA 91436 | KAISER FOUNDATION HEALTH PLAN INC | $11K | $0 | $11K | 0.82% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | PO BOX 986 POULSBO, WA 98370 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $5K | $11K | 10.83% |
| LOCKTON COMPANIES, LLC3 | 4275 EXECUTIVE SQUARE, SUITE 600 LA JOLLA, CA 92037 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 5.56% |
| HRIS INSURANCE SERVICES3 | 15840 VENTURA BOULEVARD, SUITE 404 SHERMAN OAKS, CA 91403 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.87% |
| DELTA DENTAL OF WASHINGTON3 | UNKNOWN CHATSWORTH, CA 91311 | DENTEGRA INSURANCE COMPANY | $2K | $0 | $2K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | 1501 4TH AVENUE, SUITE 2400 SEATTLE, WA 98101 | DENTEGRA INSURANCE COMPANY | $777 | $0 | $777 | 2.10% |
| LOCKTON COMPANIES, LLC3 | 725 SOUTH FIGUEROA STREET 35TH FLOOR LOS ANGELES, CA 90017 | DENTEGRA INSURANCE COMPANY | $715 | $0 | $715 | 1.93% |
| HRIS INSURANCE SERVICES3 | 15840 VENTURA BOULEVARD, SUITE 205 ENCINO, CA 91436 | DENTEGRA INSURANCE COMPANY | $358 | $0 | $358 | 0.97% |
| LOCKTON COMPANIES, LLC3 | DEPARTMENT LA 23940 PASADENA, CA 91185 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.73% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN AND BROWN OF WASHINGTON, INC. | PO BOX 986 POULSBO, WA 98370 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.01% |
| HRIS INSURANCE SERVICES3 | 15840 VENTURA BOULEVARD, SUITE 205 ENCINO, CA 91436 | VISION SERVICE PLAN | $489 | $0 | $489 | 1.92% |
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 | 238 | 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) | 238 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 234 | $1.4M |
| Dental | DENTEGRA INSURANCE COMPANY | 214 | $37K |
| Vision | VISION SERVICE PLAN | 203 | $25K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 238 | $105K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 238 | $105K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 238 | $105K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 234 | $1.4M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 261 | $113K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 261 | — |
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.