| 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 | $85K | $11K | $96K | 3.90% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 3 WATERS PARK DRIVE SUITE 100 SAN MATEO, CA 94403 | SUN LIFE ASSURANCE COMPANY OF CANADA | $32K | $7K | $39K | 6.42% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 3 WATERS PARK DRIVE SUITE 100 SAN MATEO, CA 94403 | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION | $2K | $0 | $2K | 1.15% |
| ABD INS. AND FINANCIAL SVCS., INC.3 | 3 WATERS PARK DRIVE SUITE 100 SAN MATEO, CA 94403 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $4K | $0 | $4K | 15.00% |
| MARIA GALICIA4 | 3601 NIGHTINGALE DRIVE ANTIOCH, CA 94509 | PRE-PAID LEGAL SERVICS, INC. DBA LEGALSHIELD | $2K | $0 | $2K | 9.00% |
| EVELYN M. SHELTON4 | 2954 OAKLEY ROAD OAKLEY, CA 94561 | PRE-PAID LEGAL SERVICS, INC. DBA LEGALSHIELD | $2K | $0 | $2K | 8.93% |
| JULIE GERSHON4 | 7 CAPOZZI CIRCLE WOBURN, MA 01801 | PRE-PAID LEGAL SERVICS, INC. DBA LEGALSHIELD | $272 | $0 | $272 | 1.25% |
| DUENAS ASSOCIATES LLC4 | 5710 DESERT MALLOW STREET ROCKLIN, CA 95677 | PRE-PAID LEGAL SERVICS, INC. DBA LEGALSHIELD | $270 | $0 | $270 | 1.24% |
| THE AGURS GROUP INC.4 | 5213 TAMANAR DRIVE LAS VEGAS, NV 89130 | PRE-PAID LEGAL SERVICS, INC. DBA LEGALSHIELD | $89 | $0 | $89 | 0.41% |
| MJ INSURANCE4 Filed as: ROSE SCHNEIDER AND VARIOUS AGENTS | 554 NW 97TH AVENUE PLANTATION, FL 33324 | PRE-PAID LEGAL SERVICS, INC. DBA LEGALSHIELD | $74 | $0 | $74 | 0.34% |
| DALENE SAWYER4 | 14926 GABLES END DRIVE ATHENS, GA 35613 | PRE-PAID LEGAL SERVICS, INC. DBA LEGALSHIELD | $53 | $0 | $53 | 0.24% |
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 | 724 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 38 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 762 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 496 | $2.7M |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,889 | $606K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,889 | $606K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,889 | $606K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 496 | $2.7M |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 1,889 | $651K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,889 | — |
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.