| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MELITA-MCDONALD INSURANCE SERVICES3 | PO BOX 610520 SAN JOSE, CA 951610520 | KAISER FOUNDATION HEALTH PLAN INC. | $37K | — | $37K | 3.45% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 911098299 | KAISER FOUNDATION HEALTH PLAN INC. | $19K | — | $19K | 1.74% |
| MELITA-MCDONALD INSURANCE SERVICES3 Filed as: MELITA GROUP | PO BOX 610520 SAN JOSE, CA 951610520 | SUTTER HEALTH PLAN | $10K | — | $10K | 3.24% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2185 N. CALIFORNIA BLVD, SUITE 400 WALNUT CREEK, CA 94596 | SUTTER HEALTH PLAN | $5K | — | $5K | 1.76% |
| MELITA-MCDONALD INSURANCE SERVICES3 | PO BOX 610520 SAN JOSE, CA 951610520 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $254 | $9K | 5.89% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 9 E. RIVER PARK PLACE E., FLOOR 3 FRESNO, CA 937201530 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $55 | $3K | 1.95% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 5444 WESTHEIMER ROAD, SUITE 900 HOUSTON, TX 770565306 | METROPOLITAN LIFE INSURANCE COMPANY | — | $491 | $491 | 0.31% |
| MELITA-MCDONALD INSURANCE SERVICES3 | PO BOX 610520 SAN JOSE, CA 951610520 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $174 | — | $174 | 5.08% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 9 E. RIVER PARK PL E., FLOOR 3 FRESNO, CA 937201530 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $74 | — | $74 | 2.16% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 5444 WESTHEIMER ROAD, SUITE 900 HOUSTON, TX 770565306 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | — | $12 | $12 | 0.35% |
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 | 141 | 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) | 141 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 145 | $1.4M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 346 | $160K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 346 | $157K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 346 | $157K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 145 | $1.4M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 346 | $157K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 346 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.