| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ABD INS. AND FINANCIAL SVCS., INC.3 | 3 WATERS PARK DRIVE, SUITE 100 SAN MATEO, CA 94403 | KAISER FOUNDATION HEALTH PLAN INC | $64K | $9K | $73K | 2.88% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 3 WATERS PARK DRIVE, SUITE 100 SAN MATEO, CA 94403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $21K | — | $21K | 4.48% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 3 WATERS PARK DRIVE, SUITE 100 SAN MATEO, CA 94403 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | $2K | — | $2K | 1.01% |
| MARIA GALICIA4 Filed as: MARIA GLAICIA | 3601 NIGHTINGALE DRIVE ANTIOCH, CA 94509 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $2K | — | $2K | 9.56% |
| EVELYN M. SHELTON4 | 2954 OAKLEY ROAD OAKLEY, CA 94561 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $2K | — | $2K | 8.20% |
| DUENAS ASSOCIATES LLC4 | 7696 GALLOWAY DRIVE SAN JOSE, CA 95135 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $381 | — | $381 | 1.67% |
| JULIE GERSHON4 | 11 PADDOCK STREET WILMINGTON, MA 01887 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $212 | — | $212 | 0.93% |
| MJ INSURANCE4 Filed as: LORI LEWISON AND VARIOUS AGENTS | 4301 WEST 57TH STREET SIOUX FALLS, SD 57108 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $131 | — | $131 | 0.57% |
| GLOBAL COMMUNICATION4 | 21890 HARROW AVENUE NORTH FOREST LAKE, MN 55025 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $72 | — | $72 | 0.32% |
| DALENE SAWYER4 | 14926 GABLES END DRIVE ATHENS, AL 35613 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $63 | — | $63 | 0.28% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 3 WATERS PARK DRIVE, SUITE 100 SAN MATEO, CA 94403 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $2K | — | $2K | 15.00% |
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 | 894 | 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) | 894 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 465 | $2.8M |
| Vision | VISION SERVICE PLAN | 764 | $101K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 894 | $465K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 894 | $465K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 894 | $465K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 465 | $2.8M |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 894 | $498K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 894 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.