| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PBR INSURANCE SERVICES3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 1.41% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 1.22% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY, SE SUITE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 1.14% |
| PBR INSURANCE SERVICES3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 1.36% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 1.21% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PARKWAY, SE SUITE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN INC | $6K | — | $6K | 1.19% |
| PREMIER BENEFIT RESOURCES INC3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $4K | — | $4K | 2.85% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $3K | — | $3K | 2.03% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF CALIFORNIA | $12K | — | $12K | 10.00% |
| KATHRYN VICTORIA BOSMANS3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $2K | — | $2K | 2.35% |
| LOCKTON COMPANIES, LLC3 | 500 W. MONROE STREET, SUITE 3400 CHICAGO, IL 60661 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $644 | $28 | $672 | 0.73% |
| PREMIER BENEFIT RESOURCES INC3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | HEALTH NET | $2K | — | $2K | 3.16% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | HEALTH NET | $1K | — | $1K | 1.84% |
| BOSMANS, KATHRYN V.3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $453 | — | $453 | 1.20% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $247 | — | $247 | 0.65% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC. | 200 GALLERIA PARKWAY, SUITE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $231 | — | $231 | 0.61% |
| KRISTINE T RINGROSE3 | 48 SUMMIT AVENUE SAN RAFAEL, CA 94901 | AFLAC | $384 | $20 | $404 | 2.83% |
| TRULY B. PINEDA3 Filed as: TRULY B PINEDA | 601 MONTGOMERY STREET, SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $203 | $4 | $207 | 1.45% |
| LAURA RUNYEON3 Filed as: LAURA J RUNYEON | 2042 WEATHERBY WAY PETALUMA, CA 94954 | AFLAC | $125 | — | $125 | 0.88% |
| GERI KRUEGER3 | 4160 GREEN VALLEY ROAD FAIRFIELD, CA 94534 | AFLAC | $76 | — | $76 | 0.53% |
| JON P BATES JR3 | 440 REGENTS PARK DRIVE VALLEJO, CA 94591 | AFLAC | $68 | — | $68 | 0.48% |
| EDWARD I LIEF3 | 4949 MEADOWS ROAD, SUITE 650 LAKE OSWEGO, OR 97035 | AFLAC | $66 | — | $66 | 0.46% |
| ANNA JANICE RUIZ3 | 2596 17TH AVENUE SAN FRANCISCO, CA 94116 | AFLAC | $42 | — | $42 | 0.29% |
| PAUL GALLEGOS3 | 10519 SHOSHONE AVENUE GRANADA HILLS, CA 91344 | AFLAC | $39 | — | $39 | 0.27% |
| JAMES S SARANTIS3 | 2281 LAVA RIDGE COURT, SUITE 130 ROSEVILLE, CA 95661 | AFLAC | $36 | — | $36 | 0.25% |
| CHRIS BRANSON3 | 6601 BACK BAY LANE AUSTIN, TX 78739 | AFLAC | $31 | — | $31 | 0.22% |
| CHRIS BRANSON3 | 9209 COLBERG DRIVE AUSTIN, TX 78749 | AFLAC | $25 | $4 | $29 | 0.20% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $26 | — | $26 | 0.18% |
| PETER JAMES SARANTIS3 | 26200 TOWN CENTER DRIVE, SUITE 110 NOVI, MI 48375 | AFLAC | $24 | — | $24 | 0.17% |
| JD HOLDER ENTERPRISES INC3 | 8220 UNIVERSITY AVENUE, SUITE 200 LA MESA, CA 91942 | AFLAC | $23 | — | $23 | 0.16% |
| LAUREL NICOLE HARMS3 | 785 TURRINI DRIVE DANVILLE, CA 94526 | AFLAC | $23 | — | $23 | 0.16% |
| BRIAN G JAEGGI3 | 15607 W LILLI WAY VAN NUYS, CA 91406 | AFLAC | $18 | — | $18 | 0.13% |
| MICHAEL J. MCVAY3 Filed as: MICHAEL J MCVAY | 8967 CREST VIEW DRIVE CORONA, CA 92883 | AFLAC | $15 | — | $15 | 0.11% |
| MICHAEL C WALKER3 Filed as: MICHAEL JAMES RHODD | 4160 GREEN VALLEY ROAD FAIRFIELD, CA 94534 | AFLAC | $15 | — | $15 | 0.11% |
| RICHARD J KUNZ3 | 601 MONTGOMERY STREET, SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $14 | — | $14 | 0.10% |
| SHEILA S ROBY3 | 546 E 22ND STREET OAKLAND, CA 94606 | AFLAC | $10 | — | $10 | 0.07% |
| DIGITAL INSURANCE LLC3 | 2682 BISHOP DRIVE, SUITE 214 SAN RAMON, CA 94583 | AFLAC | $9 | — | $9 | 0.06% |
| LES HEINSEN INS SERVICES INC3 | 4416 VIA PALAGIO FAIR OAKS, CA 95628 | AFLAC | $8 | — | $8 | 0.06% |
| KATHRYN VICTORIA BOSMANS3 | 2682 BISHOP DRIVE, SUITE 214 SAN RAMON, CA 94583 | AFLAC | $8 | — | $8 | 0.06% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $7 | — | $7 | 0.05% |
| REBECCA S RIEGER3 | 1090 KELVIN ROAD EL SOBRANTE, CA 94803 | AFLAC | $5 | — | $5 | 0.04% |
| BRUNO R ROCCA3 | 263 APTOS SCHOOL ROAD APTOS, CA 95003 | AFLAC | $5 | — | $5 | 0.04% |
| ANDREW R GRETHEL3 | 11739 HICKORY RUN COURT LOVELAND, OH 45140 | AFLAC | $4 | — | $4 | 0.03% |
| GUILLERMO H PALOMINO3 | 21155 N 56TH STREET, APT 2120 PHOENIX, AZ 85054 | AFLAC | $4 | — | $4 | 0.03% |
| COLLEEN M LAPRADE3 | 6005 HIDDEN VALLEY ROAD, SUITE 150 CARLSBAD, CA 92011 | AFLAC | $3 | — | $3 | 0.02% |
| DAWN T SUCHECKI3 | 225 S WATER STREET WILMINGTON, NC 28401 | AFLAC | $3 | — | $3 | 0.02% |
| DONALD MARTIN RIEGER3 | 936 7TH STREET, SUITE B NOVATO, CA 94945 | AFLAC | $3 | — | $3 | 0.02% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $2 | — | $2 | 0.01% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN DANIEL PAYNE | 3572 SHADOWTREE LANE CHICO, CA 95928 | AFLAC | $2 | — | $2 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK STREET, SUITE 625 CHICAGO, IL 60654 | AFLAC | $2 | — | $2 | 0.01% |
| NICHOLAS E VIGIL3 | 120 ROCKBOLT CIRCLE FOLSOM, CA 95630 | AFLAC | $2 | — | $2 | 0.01% |
| BRUNO R ROCCA3 | 833 FRONT STREET, APT 254 SANTA CRUZ, CA 95060 | AFLAC | $2 | — | $2 | 0.01% |
| VICTORIA L FLYNN3 Filed as: VICTORIA HOWARD | 1365 CAMINO PERAL, A MORAGA, CA 94556 | AFLAC | $1 | — | $1 | 0.01% |
| KRISTINA J KUNZ3 | 118 GRANVILLE WAY SAN FRANCISCO, CA 94127 | AFLAC | $1 | — | $1 | 0.01% |
| EDWARD M RYSKA3 | 6010 ROBLAR ROAD PETALUMA, CA 94952 | AFLAC | $1 | — | $1 | 0.01% |
| PREMIER BENEFIT RESOURCES INC3 Filed as: PREMIER BENEFIT RESOURCES | 18 ROYAL OAKS COURT ALAMO, CA 94507 | VISION SERVICE PLAN | $392 | — | $392 | 3.17% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PARKWAY, SE SUITE 1950 ATLANTA, GA 30339 | VISION SERVICE PLAN | $257 | — | $257 | 2.08% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | VISION SERVICE PLAN | $187 | — | $187 | 1.51% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY SE SUITE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $188 | $819 | $1K | 8.45% |
| PREMIER BENEFIT RESOURCES INC3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $517 | — | $517 | 4.34% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $487 | — | $487 | 4.08% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY, SE SUITE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $185 | $765 | $950 | 8.32% |
| PREMIER BENEFIT RESOURCES INC3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $564 | — | $564 | 4.94% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $393 | — | $393 | 3.44% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PARKWAY, SE SUITE 1950 ATLANTA, GA 30339 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $142 | $655 | $797 | 8.16% |
| PREMIER BENEFIT RESOURCES INC3 | 2440 CAMINO RAMON, SUITE 375 SAN RAMON, CA 94583 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $531 | — | $531 | 5.44% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $303 | — | $303 | 3.10% |
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 | 179 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 181 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 86 | $1.3M |
| Dental | DELTA DENTAL OF CALIFORNIA | 234 | $115K |
| Vision | VISION SERVICE PLAN | 82 | $12K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 179 | $22K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 179 | $11K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 179 | $22K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.