| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA STREET SUITE 2400 SAN FRANCISCO, CA 94104 | BLUE CROSS OF CALIFORNIA | $179K | — | $179K | 2.03% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | BLUE CROSS OF CALIFORNIA | $113K | $5K | $118K | 1.34% |
| INTERNATIONAL PROINSURANCE SERVICES3 | 3935 BOHANNON DRIVE SUITE 100 MENLO PARK, CA 94025 | BLUE CROSS OF CALIFORNIA | $309 | — | $309 | 0.00% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA STREET SUITE 2400 SAN FRANCISCO, CA 941042215 | KAISER FOUNDATION HEALTH PLAN INC. | $49K | — | $49K | 1.49% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5664 PRAIRE CREEK DRIVE SE CALEDONIA, MI 493168081 | KAISER FOUNDATION HEALTH PLAN INC. | $27K | — | $27K | 0.83% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 5003 SAN RAMON, CA 945830803 | METROPOLITAN LIFE INSURANCE COMPANY | $33K | — | $33K | 2.41% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 9655 GRANITE RIDGE DRIVE SUITE 500 SAN DIEGO, CA 921232676 | METROPOLITAN LIFE INSURANCE COMPANY | — | $24K | $24K | 1.74% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3925 BOHANNON DRIVE SUITE 100 MENLO PARK, CA 940251055 | METROPOLITAN LIFE INSURANCE COMPANY | $18K | — | $18K | 1.33% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD SUITE 800 CONCORD, CA 945207924 | METROPOLITAN LIFE INSURANCE COMPANY | — | $11K | $11K | 0.80% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 5668 CONCORD, CA 94524 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $6K | — | $6K | 2.45% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3925 BOHANNON DRIVE SUITE 100 MENLO PARK, CA 94025 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | — | $1K | 0.55% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 5668 CONCORD, CA 94524 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 2.45% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 3925 BOHANNON DRIVE SUITE 100 MENLO PARK, CA 94025 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $886 | — | $886 | 0.55% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LC | 9655 GRANITE RIDGE DRIVE SUITE 500 SAN DIEGO, CA 921232676 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | — | $489 | $489 | — |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3925 BOHANNON DRIVE SUITE 100 MENLO PARK, CA 940251055 | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | $99 | — | $99 | — |
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 | 1,184 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,200 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 589 | $12.1M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,947 | $1.4M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 1,947 | $1.4M |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,184 | $249K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,182 | $160K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 573 | $3.3M |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,184 | $249K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,947 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.