| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD SUITE 800 CONCORD, CA 94520 | BLUE CROSS OF CALIFORNIA | $111K | $7K | $118K | 2.56% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2405 SATELLITE BLVD STE DULUTH, GA 300969022 | PRINCIPAL LIFE INSURANCE COMPANY | $75K | $11K | $86K | 15.59% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA STREET SUITE 2400 SAN FRANCISCO, CA 941042215 | KAISER FOUNDATION HEALTH PLAN INC. | $25K | $205 | $25K | 4.83% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 19000 MACARTHUR BLVD IRVINE, CA 92612 | AETNA LIFE INSURANCE COMPANY | $25K | $2K | $26K | 14.57% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 5668 CONCORD, CA 94524 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 2.82% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD SUITE 800 CONCORD, CA 945207924 | VISION SERVICE PLAN | $2K | — | $2K | 2.95% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD SUITE 800 CONCORD, CA 945207924 | VISION SERVICE PLAN | $937 | — | $937 | 6.62% |
| MASOLI LEGACY LLC4 | 4319 BLENHEIM WAY CONCORD, CA 94521 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $1K | — | $1K | 22.55% |
| MARIAH L MASOLI4 Filed as: MARIAH MASOLI | 588 ALEXIS CIRCLE DALY CITY, CA 94014 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $435 | — | $435 | 7.84% |
| ZACHARIAH K MASOLI4 Filed as: ZACHARIAH K. MASOLI | 588 ALEXIS CIRCLE DALY, CA 94014 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $140 | — | $140 | 2.52% |
| RESOURCE SEVEN4 Filed as: RESOURCE SEVEN INC. | 500 LANIER AVE W SUITE 203 FAYETTVILLE, GA 30214 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $70 | — | $70 | 1.26% |
| BLUMICA BUSINESS SOLUTIONS4 | PMB271 3440 YOUNGFIELD STREET WHEAT RIDGE, CO 80033 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $37 | — | $37 | 0.67% |
| THE SAMSON GROUP4 | 18 GREENGATE COURT SANTA ROSA, CA 95409 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $29 | — | $29 | 0.52% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD SUITE 800 CONCORD, CA 94520 | NATIONAL UNION FIRE INSURANCE CO. OF PITTSBUGH, PA | $318 | — | $318 | 14.98% |
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 | 297 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 299 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 513 | $5.3M |
| Dental(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 466 | $809K |
| Vision(3 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 219 | $266K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 466 | $552K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 466 | $552K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 466 | $552K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 78 | $522K |
| Other(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 513 | $4.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 513 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.