| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACCESSEHR INSURANCE SERVICES3 Filed as: ACCESSEHR INSURANCE SERVICES, INC. | 2300 CONTRA COSTA BLVD., SUITE 520 PLEASANT HILL, CA 94523 | KAISER FOUNDATION HEALTH PLAN INC. | $28K | — | $28K | 2.75% |
| S.F.G.EMPLOYEE BEN & INS AGCY., INC3 | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC. | -$2K | — | -$2K | -0.24% |
| ACCESSEHR INSURANCE SERVICES3 Filed as: ACCESSEHR INSURANCE SERVICES, INC. | 2300 CONTRA COSTA BLVD., SUITE 520 PLEASANT HILL, CA 94523 | KAISER FOUNDATION HEALTH PLAN INC. | $27K | — | $27K | 2.74% |
| S.F.G.EMPLOYEE BEN & INS AGCY., INC3 | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC. | -$2K | — | -$2K | -0.25% |
| ACCESSEHR INSURANCE SERVICES3 Filed as: ACCESSEHR INSURANCE SERVICES, INC. | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN OF GEORGIA | $16K | — | $16K | 5.11% |
| ACCESSEHR INSURANCE SERVICES3 | 3000 OAK ROAD, SUITE 220 WALNUT CREEK, CA 94597 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $22K | $2K | $24K | 15.23% |
| ENROLLEASE3 | 660 YORK STREET STE 102 SAN FRANCISCO, CA 94110 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 2.45% |
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 | 283 | 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) | 283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 136 | $2.3M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 283 | $155K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 283 | $155K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 283 | $155K |
| Long-term disability | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 283 | $155K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 136 | $2.3M |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 283 | $155K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 283 | — |
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."
No prospect flags tripped on this filing.