| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SANDER JACOBS CASSAYRE & GRIFFIN3 Filed as: SANDER, JACOBS, CASSAYRE & GRIFFIN | INC. 3200 VILLA LN NAPA, CA 945583017 | KAISER FOUNDATION HEALTH PLAN INC | $55K | — | $55K | 4.90% |
| ISU SANDER, JACOBS, CASSAYRE3 Filed as: ISU SANDER, JACOBS, CASSAYRE & | GRIFFIN 3200 VILLA LANE NAPA, CA 94558 | WESTERN HEALTH ADVANTAGE | $6K | — | $6K | 2.90% |
| SANDER JACOBS CASSAYRE & GRIFFIN3 | INC 3200 VILLA LANE NAPA, CA 94558 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $10K | — | $10K | 5.44% |
| SANDER JACOBS CASSAYRE & GRIFFIN3 Filed as: SANDER, JACOBS, CASSAYRE & GRIFFIN | INC DBA ISU SANDER JACOBS CASSAYRE INSURANCE SERVICES 3200 VILLA LN NAPA, CA 94558 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 9.39% |
| ISU SANDER, JACOBS, CASSAYRE3 | INSURANCE SERVICES 3200 VILLA LN NAPA, CA 94558 | VISION SERVICE PLAN | $1K | — | $1K | 5.21% |
| ENROLLEASE3 Filed as: ENROLLEASE, INC DBA EASECENTRAL | 1980 FESTIVAL PLAZA DR STE 810 LAS VEGAS, NV 89135 | VISION SERVICE PLAN | $274 | — | $274 | 1.10% |
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 | 220 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 221 | 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 | $1.3M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 315 | $190K |
| Vision | VISION SERVICE PLAN | 179 | $25K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 315 | $190K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 206 | $46K |
| Other | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 315 | $190K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 315 | — |
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.