| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| KUANG-LUNG PETER YU3 | 3422 SHADY SPRING LANE MOUNTAIN VIEW, CA 94040 | HEALTH NET | $8K | — | $8K | 2.11% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES | 3470 MT DIABLO BOULEVARD SUITE A100 LAFAYETTE, CA 94549 | HEALTH NET | $1K | — | $1K | 0.38% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES | 3470 MT DIABLO BOULEVARD SUITE A100 LAFAYETTE, CA 94549 | KAISER HEALTH PLAN | $2K | — | $2K | 0.84% |
| PETER K YU3 Filed as: PETER YU | 3422 SHADY SPRING LANE MOUNTAIN VIEW, CA 94040 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | — | $9K | 8.51% |
| CLIFFORD FRANKLIN BROOKS3 Filed as: CLIFFORD DER | 40485 ENCYCLOPEDIA CIR C/O BENEFIT BROKERAGE SERVICES FREMONT, CA 94538 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 4.25% |
| PETER K YU3 | 3422 SHADY SPRING LN MOUNTAIN VIEW, CA 94040 | VISION SERVICE PLAN | $970 | — | $970 | 5.51% |
| BEERE & PURVES INC3 | 1350 TREAT BOULEVARD SUITE 470 WALNUT CREEK, CA 94597 | VISION SERVICE PLAN | $880 | — | $880 | 5.00% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES | 3470 MT DIABLO BOULEVARD SUITE A100 LAFAYETTE, CA 94549 | VISION SERVICE PLAN | $86 | — | $86 | 0.49% |
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 | 130 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 76 | $572K |
| Dental(2 contracts, 2 carriers) | HEALTH NET | 403 | $468K |
| Vision(2 contracts, 2 carriers) | HEALTH NET | 111 | $381K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 403 | $104K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 403 | $104K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 403 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.