| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACCESSEHR INSURANCE SERVICES3 Filed as: ACCESSEHR INSURANCE SERVICES, INC. | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC. | $15K | — | $15K | 1.63% |
| S.F.G.EMPLOYEE BEN & INS AGCY., INC3 | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC. | $8K | — | $8K | 0.82% |
| SSM INSURANCE SERVICES, INC.3 | P.O. 750004 PETALUMA, CA 94975 | KAISER FOUNDATION HEALTH PLAN INC. | $7K | — | $7K | 0.81% |
| ACCESSEHR INSURANCE SERVICES3 Filed as: ACCESSEHR INSURANCE SERVICES, INC. | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC. | $15K | — | $15K | 1.64% |
| SSM INSURANCE SERVICES, INC.3 | P.O. BOX 750004 PETALUMA, CA 94975 | KAISER FOUNDATION HEALTH PLAN INC. | $8K | — | $8K | 0.84% |
| S.F.G.EMPLOYEE BEN & INS AGCY., INC3 | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC. | $7K | — | $7K | 0.81% |
| ACCESSEHR INSURANCE SERVICES3 Filed as: ACCESSEHR INSURANCE SERVICES, INC. | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $8K | — | $8K | 2.73% |
| THE BENEFIT COMPANY INC3 Filed as: THE BENEFIT COMPANY | SIX CONCOURSE PKWY., SUITE 2750 ATLANTA, GA 30328 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $7K | — | $7K | 2.34% |
| ACCESSEHR INSURANCE SERVICES3 Filed as: ACCESSEHR INSURANCE SERVICES INC. | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | — | $4K | 1.53% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC - ARIZONA | 7310 N 16TH ST. STE 226 PHOENIX, AZ 85020 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 0.63% |
| ACCESSEHR INSURANCE SERVICES3 | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $13K | — | $13K | 10.00% |
| SSM INSURANCE SERVICES, INC.3 Filed as: SSM INSURANCE SERVICES INC. | P.O. BOX 750004 PETALUMA, CA 94975 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 4.25% |
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 | 331 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 334 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 144 | $2.4M |
| Dental(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 331 | $374K |
| Vision | UNITEDHEALTHCARE INSURANCE COMPANY | 36 | $242K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 331 | $133K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 331 | $133K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 144 | $2.4M |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 331 | $133K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 331 | — |
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.