| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 10531 4S COMMONS DR STE 166 516 SAN DIEGO, CA 92127 | BLUE CROSS OF CALIFORNIA | $350K | $9K | $359K | 3.62% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD STE 140 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $12K | — | $12K | 1.80% |
| HINDS FINANCIAL GROUP, INC.3 | 1818 SPRING ST PASO ROBLES, CA 93446 | KAISER FOUNDATION HEALTH PLAN INC | $11K | — | $11K | 1.75% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | KAISER FOUNDATION HEALTH PLAN INC | $11K | — | $11K | 1.75% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD STE 140 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 1.69% |
| HINDS FINANCIAL GROUP, INC.3 | 1818 SPRING ST PASO ROBLES, CA 93446 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 1.64% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 1.64% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3 POLARIS WAY, 4TH FLOOR ALISO VIEJO, CA 92656 | GUARDIAN | $29K | — | $29K | 7.46% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $10K | — | $10K | 17.64% |
| THERESA GOMEZ3 Filed as: THERESA ESCALERA GOMEZ | 9815 STEELHEAD RD PASO ROBLES, CA 93446 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | — | $5K | 9.07% |
| KAREN ANNETTE WILSON3 | 919 SAINT ANN DR PASO ROBLES, CA 93446 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 6.02% |
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 | 1,840 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,846 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 2,257 | $11.0M |
| Dental | BLUE CROSS OF CALIFORNIA | 2,257 | $9.9M |
| Vision | BLUE CROSS OF CALIFORNIA | 2,257 | $9.9M |
| Life insurance(2 contracts, 2 carriers) | GUARDIAN | 1,660 | $559K |
| Short-term disability(2 contracts, 2 carriers) | GUARDIAN | 1,660 | $559K |
| Long-term disability(2 contracts, 2 carriers) | GUARDIAN | 1,660 | $559K |
| Other(3 contracts, 3 carriers) | GUARDIAN | 1,660 | $615K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,257 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.