| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SEDGWICK CLAIMS MANAGEMENT SERVICES5 Filed as: SEDWICK CLAIMS | MANAGEMENT SERVICES, INC. 2620 THOUSAND OAKS BLVD MEMPHIS, TN 38118 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $1.1M | $1.1M | 11.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: PACIFIC RESOURCES BENEFIT ADVISORS | LLC 1 BEACON ST SUITE 1700 BOSTON, MA 02108 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $211K | — | $211K | 2.12% |
| STRATEGIC NON-MEDICAL SOLUTIONS LLC3 Filed as: STRATEGIC NON MEDICAL SOLUTIONS LLC | SUITE 1700 1 BEACON ST BOSTON, MA 02108 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $172K | — | $172K | 1.73% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | SUITE 1000 601 UNION ST SEATTLE, WA 98101 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $153K | — | $153K | 1.54% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD SUITE 800 CONCORD, CA 945207924 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $105K | — | $105K | 1.06% |
| USI INSURANCE SERVICES LLC3 | WEST-SAN FRANCISCO PO BOX 66119 VIRGINIA BEACH, VA 23466 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $37K | — | $37K | 0.37% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS TOWERS WATSON INS | SVCS WEST INC PO BOX 101162 PASADENA, CA 911890001 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 0.07% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | PO BOX 62949 VIRGINIA BEACH, VA 234662949 | KAISER FOUNDATION HEALTH PLAN, INC. | $112K | — | $112K | 1.78% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST FL 24 SAN FRANCISCO, CA 941042102 | KAISER FOUNDATION HEALTH PLAN, INC. | $77K | $17 | $77K | 1.22% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING COMPANY | PO BOX 62949 VIRGINIA BEACH, VA 234662949 | KAISER FOUNDATION HEALTH PLAN, INC. | $85K | — | $85K | 1.79% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA ST FL 24 SAN FRANCISCO, CA 941042102 | KAISER FOUNDATION HEALTH PLAN, INC. | $58K | $14 | $58K | 1.22% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO DBA | USI INS 601 UNION ST, STE 1000 SEATTLE, WA 98101 | KAISER FOUNDATION HEALTH PLAN, INC. | $18K | — | $18K | 3.90% |
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 | 19,452 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 198 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 19,650 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 643 | $14.0M |
| Dental(3 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 1,656 | $3.3M |
| Vision(5 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 13,532 | $15.6M |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 19,452 | $9.9M |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 19,452 | $9.9M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 19,452 | $9.9M |
| Prescription drug(4 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 643 | $14.0M |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 19,452 | $10.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 19,452 | — |
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.