| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WARREN G BENDER CO3 Filed as: WARREN G BENDER CO. | 516 GIBSON DRIVE STE 240 ROSEVILLE, CA 95678 | WESTERN HEALTH ADVANTAGE | $39K | $0 | $39K | 5.00% |
| WARREN G BENDER CO3 | 516 GIBSON DRIVE STE 240 ROSEVILLE, CA 95678 | KAISER FOUNDATION HEALTH PLAN INC | $16K | $0 | $16K | 3.27% |
| JOHN O BRONSON CO INC3 Filed as: JOHN O BRONSON CO. INC | PO BOX 255387 SACRAMENTO, CA 95865 | KAISER FOUNDATION HEALTH PLAN INC | $0 | $0 | $0 | 0.00% |
| WARREN G BENDER CO3 Filed as: WARREN G BENDER CO. | 516 GIBSON DRIVE STE 240 ROSEVILLE, CA 95678 | HUMANA DENTAL INSURANCE COMPANY | $4K | $0 | $4K | 4.92% |
| WARREN G BENDER CO3 Filed as: WARREN G BENDER CO. | 516 GIBSON DRIVE STE 240 ROSEVILLE, CA 95678 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 13.86% |
| WARREN G BENDER CO3 Filed as: WARREN G BENDER COMPANY | 516 GIBSON DRIVE STE 240 ROSEVILLE, CA 95678 | VISION SERVICE PLAN | $1K | $0 | $1K | 5.64% |
| JOHN O BRONSON CO INC3 Filed as: JOHN O BRONSON BENEFITS | 3636 AMERICAN RIVER DR 2ND FLR SACRAMENTO, CA 95864 | VISION SERVICE PLAN | $0 | $0 | $0 | 0.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SERVICE | PO BOX 5345 RIVERSIDE, CA 92517 | VISION SERVICE PLAN | $0 | $0 | $0 | 0.00% |
| WARREN G BENDER CO3 Filed as: WARREN G BENDER, CO | 516 GIBSON DRIVE ROSEVILLE, CA 95678 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 16.91% |
| WARREN G BENDER CO3 Filed as: WARREN G BENDER CO. | 516 GIBSON DR, STE 240 ROSEVILLE, CA 95678 | MAGELLAN BEHAVIORAL HEALTH | $726 | $0 | $726 | 11.99% |
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 | 158 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 158 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | WESTERN HEALTH ADVANTAGE | 92 | $1.3M |
| Dental | HUMANA DENTAL INSURANCE COMPANY | 134 | $91K |
| Vision | VISION SERVICE PLAN | 147 | $20K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 60 | $15K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 158 | $37K |
| Prescription drug(2 contracts, 2 carriers) | WESTERN HEALTH ADVANTAGE | 92 | $1.3M |
| Other | MAGELLAN BEHAVIORAL HEALTH | 169 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 169 | — |
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."
No prospect flags tripped on this filing.