| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 222 BLOOMINGDALE ROAD, SUITE 401 WHITE PLAINS, NY 10605 | OXFORD HEALTH INSURANCE, INC | $48K | — | $48K | 2.06% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $5K | — | $5K | 1.94% |
| ALLIANT INSURANCE SERVICES, INC.3 | 320 WEST 57TH STREET, 6TH FLOOR NEW YORK, NY 10019 | KEYSTONE HEALTH PLAN EAST | $4K | — | $4K | 1.97% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 NORTH CALIFORNIA BOULEVARD SUITE 1000 WALNUT CREEK, CA 94596 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 1.96% |
| LOCKTON COMPANIES, LLC3 | PO BOX 415840 BOSTON, MA 02241 | KAISER FOUNDATION HEALTH PLAN INC | $303 | — | $303 | 0.22% |
| ARLENGROUP3 | 2121 NORTH CALIFORNIA BOULEVARD SUITE 1000 WALNUT CREEK, CA 94596 | EYEMED VISION CARE | $6K | — | $6K | 5.40% |
| ALLIANT INSURANCE SERVICES, INC.3 | 320 WEST 57TH STREET, 6TH FLOOR NEW YORK, NY 10019 | INDEPENDENCE BLUE CROSS | $900 | — | $900 | 1.51% |
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 | 1,444 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 19 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 22 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,485 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 6 carriers) | OXFORD HEALTH INSURANCE, INC | 222 | $3.5M |
| Vision(2 contracts, 2 carriers) | EYEMED VISION CARE | 1,791 | $177K |
| Prescription drug(5 contracts, 5 carriers) | OXFORD HEALTH INSURANCE, INC | 222 | $3.0M |
| Other | HEALTH ADVOCATE, INC. | 1,539 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,791 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.