| 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 | KAISER FOUNDATION HEALTH PLAN, INC. | $20K | — | $20K | 3.58% |
| WARREN G BENDER CO3 Filed as: WARREN BENDER CO. | 516 GIBSON DRIVE STE. 240 ROSEVILLE, CA 95678 | WESTERN HEALTH ADVANTAGE | $12K | — | $12K | 5.00% |
| WARREN G BENDER CO3 Filed as: WARREN G. BENDER CO. | 516 GIBSON DRIVE, STE. 240 ROSEVILLE, CA 95678 | PREMIER ACCESS INSURANCE COMPANY | $4K | — | $4K | 7.38% |
| SHEPLER & FEAR GENERAL AGENCY3 Filed as: SHEPLER & FEAR GENERAL AGENCY, INC. | 2140 PROFESSIONAL DRIVE, STE. 150 ROSEVILLE, CA 95661 | PREMIER ACCESS INSURANCE COMPANY | $3K | — | $3K | 4.61% |
| WARREN G BENDER CO3 Filed as: WARREN G BENDER CO. | 516 GIBSON DRIVE STE. 240 ROSEVILLE, CA 95678 | MUTUAL OF OMAHA | $4K | — | $4K | 15.00% |
| SHEPLER & FEAR GENERAL AGENCY3 | 2140 PROFESSIONAL DRIVE ROSEVILLE, CA 95661 | MUTUAL OF OMAHA | $1K | — | $1K | 5.00% |
| WARREN G BENDER CO3 Filed as: WARREN BENDER & CO | 516 GIBSON DRIVE STE. 240 ROSEVILLE, CA 95678 | PRINCIPAL LIFE INSURANCE COMPANY | -$11 | — | -$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 | 229 | 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) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | PREMIER ACCESS INSURANCE COMPANY | 104 | $58K |
| Life insurance | MUTUAL OF OMAHA | 229 | $24K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.