| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET, 4TH FLOOR BOSTON, MA 02110 | SUN LIFE ASSURANCE COMPANY OF CANADA | $62K | $15K | $78K | 13.15% |
| SELMAN & COMPANY, LLC3 | ONE INTEGRITY PARKWAY CLEVELAND, OH 44143 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $30K | $30K | 5.02% |
| MICHAEL C WALKER3 Filed as: MICHAEL JAMES RHODD | 4160 GREEN VALLEY ROAD FAIRFIELD, CA 94534 | AFLAC | $95 | $0 | $95 | 4.26% |
| KEN P. MCGRATH3 | 73-4863 ANINI STREET KAILUA KONA, HI 96740 | AFLAC | $50 | $0 | $50 | 2.24% |
| BENJAMIN R. WERTHIMER3 | 6398 SAN SIMEON DRIVE ROHNERT PARK, CA 94928 | AFLAC | $38 | $0 | $38 | 1.70% |
| MJ INSURANCE3 Filed as: PAULA S. WARNER & VARIOUS AGENTS | 18514 SPYGLASS ROAD HIDDEN VALLEY LAKE, CA 95467 | AFLAC | $17 | $0 | $17 | 0.76% |
| MICHAEL H BOOTH3 Filed as: MICHAEL H. BOOTH | 5325 ALHAMBRA VALLEY ROAD MARTINEZ, CA 94553 | AFLAC | $11 | $0 | $11 | 0.49% |
| LES HEINSEN INS SERVICES INC3 Filed as: LES HEINSEN INSURANCE SERVICES | 4416 VIA PALAGIO FAIR OAKS, CA 95628 | AFLAC | $9 | $0 | $9 | 0.40% |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES DONALD SPROUSE | 13122 MESA CREST PLACE SAN DIEGO, CA 92129 | AFLAC | $7 | $0 | $7 | 0.31% |
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 | 502 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 15 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 518 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 333 | $3.6M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 500 | $592K |
| Vision | VISION SERVICE PLAN | 364 | $40K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 500 | $592K |
| Short-term disability | AFLAC | 4 | $2K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 500 | $592K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 333 | $3.6M |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 535 | $611K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 535 | — |
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."
No prospect flags tripped on this filing.