| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 738 N 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $51K | — | $51K | 3.37% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC. | 738 N 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | UNITED HEALTHCARE INSURANCE COMPANY | $63K | $2K | $65K | 4.27% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 738 N 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | UNITED HEALTHCARE INSURANCE COMPANY | $13K | — | $13K | 0.83% |
| VARIOUS - SEE ATTACHED3 | C/O COLONIAL LIFE AND ACCIDENT P.O. BOX 1365 COLUMBIA, SC 292021365 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $196K | $13K | $210K | 27.22% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 738 N 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $23K | $3 | $23K | 3.37% |
| LOCKTON COMPANIES, LLC3 Filed as: BOWEN, MICLETTE & BRITT, INC. | P.O. BOX 922022 HOUSTON, TX 77292 | KAISER FOUNDATION HEALTH PLAN INC. | $1K | — | $1K | 0.19% |
| SCOTT CASTEEL3 Filed as: SCOTT CHRISTOPHER CASTEEL | 1450 W. JAMES WAY ANAHEIM, CA 92801 | KAISER FOUNDATION HEALTH PLAN INC. | $571 | — | $571 | 0.08% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 738 N 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $12K | $2K | $14K | 5.41% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 738 N 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $16K | $10K | $26K | 10.14% |
| LOCKTON COMPANIES, LLC3 Filed as: BOWEN, MICLETTE & BRITT, INS. AGCY. | 1111 NORTH LOOP WEST, STE. 400 HOUSTON, TX 77008 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 0.47% |
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 | 853 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 859 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 344 | $4.0M |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 478 | $253K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 478 | $253K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 853 | $1.0M |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 853 | $771K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 478 | $253K |
| Prescription drug(3 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 344 | $2.5M |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 853 | $1.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 853 | — |
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.