| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP | 3200 VILLA LN NAPA, CA 945583017 | KAISER FOUNDATION HEALTH PLAN, INC. | $70K | — | $70K | 4.27% |
| FOUNDATION RISK PARTNERS CORP3 | 2125 YGNACIO VALLEY RD SUITE 200 WALNUT CREEK, CA 94598 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $14K | $3K | $16K | 7.22% |
| SANDER JACOBS CASSAYRE & GRIFFIN3 | INC 3200 VILLA LANE NAPA, CA 94558 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $18 | — | $18 | 0.01% |
| CASSAYRE, MATTHEW J3 | 3200 VILLA LANE NAPA, CA 94558 | WESTERN HEALTH ADVANTAGE | $8K | — | $8K | 5.00% |
| SANDER JACOBS CASSAYRE & GRIFFIN3 | INC DBA ISU SANDER JACOBS CASSAYRE INSURANCE SERVICES 3200 VILLA LANE NAPA, CA 94558 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 6.02% |
| FOUNDATION RISK PARTNERS CORP3 | 3200 VILLA LN NAPA, CA 94558 | SUN LIFE ASSURANCE COMPANY OF CANADA | $764 | — | $764 | 1.18% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP | 1540 CORNERSTONE BLVD STE 230 DAYTONA BEACH, FL 32117 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 8.05% |
| SANDER JACOBS CASSAYRE & GRIFFIN3 Filed as: SANDER,JACOBS, CASSAYRE & GRIFFIN | INC 3200 VILLA LANE NAPA, CA 94558 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 7.77% |
| ERIN L. RIGGINS3 Filed as: ERIN LORRAINE RIGGINS | 9504 SHEFFIELD STREET WINDSOR, CA 95492 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 7.70% |
| DINORAH D ALFARO3 Filed as: DINORAH DEL CARMEN ALFARO | 781 E COTATI AVE H7 ROHNERT PARK, CA 94928 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.90% |
| TIMOTHY FRANCIS RANUIO3 Filed as: TIMOTHY FRANCIS RAMINO | 4420 SPRINGWOOD DRIVE NAPA, CA 94558 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.80% |
| RONDA S MATHEW3 Filed as: RONDA SUZANNE MATTHEW | 323 CLAY STREET NEVADA CITY, CA 95959 | CONTINENTAL AMERICAN INSURANCE COMPANY | $571 | — | $571 | 1.37% |
| SAHAR QABAZARD3 | 3756 DEER TRAIL CT DANVILLE, CA 94506 | CONTINENTAL AMERICAN INSURANCE COMPANY | $389 | — | $389 | 0.94% |
| DANIEL AARON MCCONNEL3 | 19 DRAWBRIDGE CT SACRAMENTO, CA 95833 | CONTINENTAL AMERICAN INSURANCE COMPANY | $13 | — | $13 | 0.03% |
| FOUNDATION RISK PARTNERS CORP3 | DBA SANDER, JACOBS, CASSAYRE I 3200 VILLA LANE NAPA, CA 94558 | VISION SERVICE PLAN | $1K | — | $1K | 4.79% |
| ENROLLEASE3 Filed as: ENROLLEASE, INC DBA EASECENTRAL | 1980 FESTIVAL PLAZA DR STE 810 LAS VEGAS, NV 891352958 | VISION SERVICE PLAN | $368 | — | $368 | 1.26% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS, CORP. | 1540 CORNERSTONE BLVD STE 230 DAYTONA BEACH, FL 32117 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $313 | — | $313 | 1.75% |
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 | 102 | 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) | 102 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 217 | $1.8M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 374 | $223K |
| Vision | VISION SERVICE PLAN | 201 | $29K |
| Life insurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 374 | $223K |
| Short-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 111 | $42K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 264 | $64K |
| Other(2 contracts, 2 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 374 | $265K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 374 | — |
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.