| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE SERVICES OF CA3 | 2300 CONTRA COSTA BOULEVARD SUITE 525 PLEASANT HILL, CA 94523 | SUTTER HEALTH PLAN | $47K | $0 | $47K | 4.00% |
| RELATION INSURANCE SERVICES OF CA3 | 2300 CONTRA COSTA BOULEVARD SUITE 525 PLEASANT HILL, CA 94523 | KAISER FOUNDATION HEALTH PLAN, INC. | $46K | $0 | $46K | 4.95% |
| RELATION INSURANCE SERVICES OF CA3 | 2300 CONTRA COSTA BOULEVARD SUITE 525 PLEASANT HILL, CA 94523 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $9K | $0 | $9K | 13.44% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC. | 2800 WEST MARCH LANE SUITE 420 STOCKTON, CA 95219 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $824 | $0 | $824 | 1.28% |
| RELATION INSURANCE SERVICES OF CA3 | 1277 TREAT BOULEVARD, SUITE 400 WALNUT CREEK, CA 94597 | AFLAC | $2K | $0 | $2K | 8.00% |
| MARJORIE B. YACOPETTI3 Filed as: MARJORIE B YACOPETTI | PO BOX 2152 LODI, CA 95241 | AFLAC | $1K | $59 | $1K | 3.76% |
| PAULINE M. SIMPSON3 Filed as: PAULINE M SIMPSON | 752 WEST ALAMEDA STREET MANTECA, CA 95336 | AFLAC | $935 | $0 | $935 | 3.24% |
| USI INSURANCE SERVICES LLC3 Filed as: KIBBLE & PRENTICE HOLDING CO | 2800 WEST MARCH LANE SUITE 100 STOCKTON, CA 95219 | AFLAC | $680 | $0 | $680 | 2.36% |
| PETER JAMES SARANTIS3 Filed as: PETER JAMES SARANTIS & OTHER AGENTS | 5509 SNOWBRUSH DRIVE ROCKLIN, CA 95677 | AFLAC | $590 | $10 | $600 | 2.08% |
| LANCE WALUSKO3 | 3903 STORY ROAD DENAIR, CA 95316 | AFLAC | $498 | $0 | $498 | 1.73% |
| LAURALYNE BOONE3 | 4353 DAFFODIL WAY LIVERMORE, CA 94551 | AFLAC | $443 | $0 | $443 | 1.54% |
| RELATION INSURANCE SERVICES OF CA3 | 2300 CONTRA COSTA BOULEVARD SUITE 525 PLEASANT HILL, CA 94523 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.99% |
| RELATION INSURANCE SERVICES OF CA3 | 2290 HUNTINGTON DRIVE, SUITE 200 SAN MARIO, CA 91108 | PREMIER ACCESS INSURANCE COMPANY | $3K | $0 | $3K | 17.11% |
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 | 262 | 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) | 262 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | SUTTER HEALTH PLAN | 138 | $2.1M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 322 | $15K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 340 | $19K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 284 | $64K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 284 | $64K |
| Prescription drug(2 contracts, 2 carriers) | SUTTER HEALTH PLAN | 138 | $2.1M |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 284 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 340 | — |
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.