| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3 POLARIS WAY 4TH FLOOR ALISO VIEJO, CA 92656 | SUN LIFE ASSURANCE COMPANY OF CANADA | $93K | $39K | $132K | 12.78% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD STE 140 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $10K | — | $10K | 1.01% |
| HINDS FINANCIAL GROUP, INC.3 | 1818 SPRING ST PASO ROBLES, CA 93446 | KAISER FOUNDATION HEALTH PLAN INC | $10K | — | $10K | 0.98% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | KAISER FOUNDATION HEALTH PLAN INC | $10K | — | $10K | 0.98% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3130 S HARBOR BLVD STE 140 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 1.07% |
| HINDS FINANCIAL GROUP, INC.3 | 1818 SPRING ST PASO ROBLES, CA 93446 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 1.04% |
| OSBORN INSURANCE SERVICES3 | 555 FRONTIER WAY TEMPLETON, CA 93465 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 1.04% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | CONTINENTAL AMERICAN INSURANCE COMPANY | $25K | — | $25K | 13.85% |
| THERESA GOMEZ3 Filed as: THERESA ESCALERA GOMEZ | 9815 STEELHEAD RD PASO ROBLES, CA 93446 | CONTINENTAL AMERICAN INSURANCE COMPANY | $12K | — | $12K | 6.70% |
| KAREN ANNETTE WILSON3 | 919 SAINT ANN DR PASO ROBLES, CA 93446 | CONTINENTAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 4.46% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 100 OTTAWA AVE SW GRAND RAPIDS, MI 49503 | BLUE CROSS OF CALIFORNIA | $31K | — | $31K | — |
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 | 2,033 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,036 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 200 | $1.3M |
| Dental(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,982 | $1.0M |
| Vision | BLUE CROSS OF CALIFORNIA | 1 | $0 |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,982 | $1.0M |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,982 | $1.0M |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,982 | $1.0M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,982 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,982 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.