| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 5668 CONCORD, CA 945240668 | KAISER FOUNDATION HEALTH PLAN INC. | $75K | — | $75K | 4.02% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN STREET, FLOOR 21 SAN FRANCISCO, CA 941058115 | METROPOLITAN LIFE INSURANCE COMPANY | — | $6K | $6K | 2.50% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, SUITE 800 CONCORD, CA 945207924 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 2.32% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP INC. | 5110 N 40TH STREET, SUITE 234 PHOENIX, AZ 850182151 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 1.63% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, STE 800 CONCORD, CA 945207924 | VISION SERVICE PLAN | $2K | — | $2K | 3.95% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, SUITE 800 CONCORD, CA 94520 | HARTFORD LIFE AND ACCIDENT | $430 | — | $430 | 9.83% |
| LEAVITT GROUP3 Filed as: LEAVITT GROUP AGENCY ASSOC, LLC | 216 SOUTH 200 WEST CEDAR CITY, UT 84720 | HARTFORD LIFE AND ACCIDENT | — | $61 | $61 | 1.39% |
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 | 369 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 374 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 369 | $1.9M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 626 | $230K |
| Vision | VISION SERVICE PLAN | 201 | $44K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 194 | $4K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 369 | $1.9M |
| Other | HARTFORD LIFE AND ACCIDENT | 194 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 626 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.