| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 N. CALIFORNIA BOULDEVARD SUITE 1000 WALNUT CREEK, CA 94596 | KAISER FOUNDATION HEALTH PLAN INC | $92K | — | $92K | 2.25% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 1039-A NORTH MCDOWELL BOULEVARD PETALUMA, CA 94954 | KAISER FOUNDATION HEALTH PLAN INC | $39K | — | $39K | 0.97% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1420 5TH AVENUE, SUITE 1500 SEATTLE, WA 98101 | BLUE CROSS OF CALIFORNIA | $66K | — | $66K | 2.16% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 1039-A NORTH MCDOWELL BOULEVARD PETALUMA, CA 94954 | BLUE CROSS OF CALIFORNIA | $31K | — | $31K | 1.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 N. CALIFORNIA BOULEVARD SUITE 1000 WALNUT CREEK, CA 94596 | VISION SERVICE PLAN | $2K | — | $2K | 2.43% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 1039-A NORTH MCDOWELL BOULEVARD PETALUMA, CA 94954 | VISION SERVICE PLAN | $543 | — | $543 | 0.87% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 N. CALIFORNIA BOULEVARD SUITE 1000 WALNUT CREEK, CA 94596 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | $169 | $7K | 15.33% |
| ALLIANT INSURANCE SERVICES, INC.3 | 1301 DOVE STREET, SUITE 200 NEWPORT BEACH, CA 92660 | MAGELLAN BEHAVIORAL HEALTH | $1K | — | $1K | 8.45% |
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 | 756 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 760 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 865 | $7.1M |
| Vision | VISION SERVICE PLAN | 511 | $62K |
| Life insurance | BLUE CROSS OF CALIFORNIA | 606 | $3.1M |
| Short-term disability | BLUE CROSS OF CALIFORNIA | 606 | $3.1M |
| Long-term disability | BLUE CROSS OF CALIFORNIA | 606 | $3.1M |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 865 | $7.1M |
| Other(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 606 | $3.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 865 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.