| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES, INC. | 2 PIERCE PL THE GALLAGHER CENTRE ITASCA, IL 60143 | KAISER FOUNDATION HEALTH PLAN INC | $64K | — | $64K | 3.79% |
| CLEVIDENCE INSURANCE SERVICES INC3 Filed as: CLEVIDENCE INSURANCE SERVICES, INC. | 3000 W MACARTHUR BLVD STE 320 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 0.35% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2 PIERCE PL THE GALLAGHER CENTRE ITASCA, IL 60143 | KAISER FOUNDATION HEALTH PLAN INC | $17K | — | $17K | 4.17% |
| CLEVIDENCE INSURANCE SERVICES INC3 Filed as: CLEVIDENCE INSURANCE SERVICES, INC. | 3000 W MACARTHUR BLVD STE 320 SANTA ANA, CA 92704 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.40% |
| CUNDY, INC.3 Filed as: CUNDY INSURANCE AGENCY | 450 E LAS OLAS BLVD STE 15TH FL FORT LAUDERDALE, FL 33301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $16K | $9K | $25K | 9.55% |
| BENEFIT ADVISORS SVCS GRP LLC3 | 1120 SANCTUARY PKWY STE 375 ALPHARETTA, GA 30004 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 2.00% |
| CUNDY, INC.3 Filed as: CUNDY INSURANCE AGENCY | 450 E LAS OLAS BLVD STE 15TH FL FORT LAUDERDALE, FL 33301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $20K | $9K | $29K | 11.45% |
| BENEFIT ADVISORS SVCS GRP LLC3 | 1120 SANCTUARY PKWY STE 375 ALPHARETTA, GA 30004 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 2.00% |
| CUNDY, INC.3 Filed as: CUNDY INSURANCE AGENCY | 450 E LAS OLAS BLVD STE 15TH FL FORT LAUDERDALE, FL 33301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $14K | $8K | $21K | 9.43% |
| BENEFIT ADVISORS SVCS GRP LLC3 | 1120 SANCTUARY PKWY STE 375 ALPHARETTA, GA 30004 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | — | $5K | 2.00% |
| CUNDY, INC.3 Filed as: CUNDY INSURANCE AGENCY | 450 E LAS OLAS BLVD STE 15TH FL FORT LAUDERDALE, FL 33301 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $7K | $10K | 5.49% |
| BENEFIT ADVISORS SVCS GRP LLC3 | 1120 SANCTUARY PKWY STE 375 ALPHARETTA, GA 30004 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 2.00% |
| CUNDY, INC.3 Filed as: CUNDY INC. | PO BOX 24080 FORT LAUDERDALE, FL 33307 | COMBINED INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 4.32% |
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 | 2,428 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 17 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 72 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,517 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 369 | $2.1M |
| Vision | COMBINED INSURANCE COMPANY OF AMERICA | 3,267 | $145K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,448 | $443K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,941 | $226K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,988 | $266K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 369 | $2.1M |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 2,448 | $443K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,267 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.