| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | PO BOX 5086 OXNARD, CA 93031 | KAISER FOUNDATION HEALTH PLAN INC. | $16K | $0 | $16K | 5.38% |
| DNU3 | 3415 BROOKSIDE ROAD, SUITE 100 STOCKTON, CA 95219 | SUTTER HEALTH PLAN | $5K | $0 | $5K | 2.81% |
| GCG FINANCIAL LLC3 Filed as: BARKLEY | PO BOX 5086 OXNARD, CA 93031 | SUTTER HEALTH PLAN | $4K | $0 | $4K | 2.19% |
| DOHRMANN INSURANCE AGENCY3 | 3415 BROOKSIDE ROAD, SUITE 100 STOCKTON, CA 95219 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $779 | $8K | 32.03% |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $891 | $3K | 13.55% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | PO BOX 5086 OXNARD, CA 93031 | METROPOLITAN LIFE INSURANCE COMPANY | $412 | $34 | $446 | 1.78% |
| HEFFERNAN INSURANCE BROKERS3 | 1350 CARLBACK AVENUE WALNUT CREEK, CA 94596 | METROPOLITAN LIFE INSURANCE COMPANY | -$2K | $104 | -$2K | -7.18% |
| DOHRMANN INSURANCE AGENCY3 | 3415 BROOKSIDE ROAD, SUITE 100 STOCKTON, CA 95219 | SAFEGUARD HEALTH PLANS, INC. | $189 | $0 | $189 | — |
| GIS BENEFITS INC3 Filed as: GIS BENEFITS, INC. | 422 WAUPONSEE STREET MORRIS, IL 60450 | SAFEGUARD HEALTH PLANS, INC. | $53 | $0 | $53 | — |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | PO BOX 5086 OXNARD, CA 93031 | SAFEGUARD HEALTH PLANS, INC. | $1 | $8 | $9 | — |
| HEFFERNAN INSURANCE BROKERS3 | 1350 CARLBACK AVENUE WALNUT CREEK, CA 94596 | SAFEGUARD HEALTH PLANS, INC. | -$119 | $0 | -$119 | — |
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 | 33 | 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) | 33 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 16 | $466K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 33 | $25K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 33 | $25K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 33 | $25K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 33 | $25K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 16 | $466K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 33 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 33 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.