| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 2415 E. CAMELBACK ROAD, SUITE 420 PHOENIX, AZ 85016 | KAISER FOUNDATION HEALTH PLAN INC. | $13K | — | $13K | 0.09% |
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP | 18940 N PIMA ROAD, SUITE 210 SCOTTSDALE, AZ 85255 | SUN LIFE ASSURANCE COMPANY OF CANADA | $34K | — | $34K | 12.26% |
| WELLNESS OF AMERICA LLC3 | PO BOX 427 ASPEN, CO 81612 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $26K | $24 | $26K | 11.15% |
| SUMMIT ALLIANCE BENEFIT COMPANY LP3 Filed as: SUMMIT ALLIANCE BENEFITS CO. LP | 14785 PRESTON ROAD, SUITE 1000 DALLAS, TX 75254 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 1.44% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2415 E. CAMELBACK ROAD, SUITE 420 PHOENIX, AZ 85016 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $282 | — | $282 | 0.12% |
| WELLNESS OF AMERICA LLC3 | P.O. BOX 97865 PHOENIX, AZ 85060 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $160 | $6K | 12.85% |
| SUMMIT ALLIANCE BENEFIT COMPANY LP3 Filed as: SUMMIT ALLIANCE BENEFITS CO. LP | 14785 PRESTON ROAD, SUITE 1000 DALLAS, TX 75254 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 2.47% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2415 E. CAMELBACK ROAD, SUITE 420 PHOENIX, AZ 85016 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $222 | — | $222 | 0.47% |
| THE FARMINGTON COMPANY3 | P.O. BOX 527 FARMINGTON, CT 06034 | KANAWHA INSURANCE COMPANY | $1K | — | $1K | 3.80% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2415 E. CAMELBACK ROAD, SUITE 420 ALLIANT INSURANCE SERV, AZ 85016 | KANAWHA INSURANCE COMPANY | $732 | — | $732 | 2.24% |
| THE FARMINGTON COMPANY3 | P.O. BOX 527 FARMINGTON, CT 06034 | KANAWHA INSURANCE COMPANY | $531 | — | $531 | 5.57% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2415 E. CAMELBACK ROAD, SUITE 420 PHOENIX, AZ 85016 | KANAWHA INSURANCE COMPANY | $228 | — | $228 | 2.39% |
| ASCENSION BENEFITS & INS. SOLUTIONS3 Filed as: ASCENSION INS SVCS INC. | 80 S LAKE AVENUE, SUITE 600 PASADENA, CA 91101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $250 | — | $250 | 7.01% |
| ASCENSION BENEFITS & INS. SOLUTIONS3 Filed as: ASCENSION INS SVCS INC. | 80 S LAKE AVENUE, SUITE 600 PASADENA, CA 91101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $367 | — | $367 | 11.69% |
| ASCENSION BENEFITS & INS. SOLUTIONS3 Filed as: ASCENSION INS SVCS INC. | 80 S LAKE AVENUE, SUITE 600 PASADENA, CA 91101 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $404 | — | $404 | 15.02% |
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 | 1,724 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,727 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 2,899 | $13.9M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 3,478 | $1.7M |
| Life insurance(6 contracts, 4 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,628 | $561K |
| Short-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,628 | $512K |
| Long-term disability(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,628 | $278K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 2,899 | $13.9M |
| Other(7 contracts, 5 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 2,590 | $418K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,478 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.