| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLAREMONT BUSINESS GROUP3 | 1000 BURNETT AVE SUITE 440 CONCORD, CA 94520 | CALIFORNIA PHYSICIANS' SERVICE | $50K | $0 | $50K | 2.00% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5664 PRAIRIE CREEK DR CALEDONIA, MI 49316 | CALIFORNIA PHYSICIANS' SERVICE | $49K | $26 | $49K | 1.95% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5300 STEVENS CREEK BLVD 3RD FL SAN JOSE, CA 95129 | CALIFORNIA PHYSICIANS' SERVICE | $42K | $22 | $42K | 1.67% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FLOOR SAN DIEGO, CA 92101 | CALIFORNIA PHYSICIANS' SERVICE | $35K | $18 | $35K | 1.38% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5300 STEVENS CREEK BLVD FL 3 SAN JOSE, CA 95129 | KAISER FOUNDATION HEALTH PLAN INC | $22K | $0 | $22K | 3.60% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 2121 N CALIFORNIA BLVD SUITE 1000 WALNUT CREEK, CA 94596 | KAISER FOUNDATION HEALTH PLAN INC | $8K | $1 | $8K | 1.24% |
| ACRISURE LLC3 Filed as: SUHR RISK SVCS OF CA AN ACRISURE CO | 5300 STEVENS CREEK BLVD 3RD FL SAN JOSE, CA 95129 | METROPOLITAN LIFE INSURANCE COMPANY | $47K | $46 | $47K | 9.89% |
| CLAREMONT BUSINESS GROUP3 Filed as: CLAREMONT BUSINESS GROUP INC | 1000 BURNETT AVE SUITE 440 CONCORD, CA 94520 | METROPOLITAN LIFE INSURANCE COMPANY | $25K | $0 | $25K | 5.28% |
| ACRISURE LLC3 Filed as: ACRISURE OF CA LLC | 9655 GRANITE RIDGE DR SUITE 500 SAN DIEGO, CA 92123 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $4K | $4K | 0.88% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FLOOR SAN DIEGO, CA 921018156 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $89 | $3K | 0.58% |
| RANDOLPH ELDER3 | PO BOX 2150 LOOMIS, CA 95650 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 0.22% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 5444 WESTHEIMER ROAD SUITE 900 HOUSTON, TX 77056 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $761 | $761 | 0.16% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5300 STEVENS CREEK BLVD FL 3 SAN JOSE, CA 95129 | KAISER FOUNDATION HEALTH PLAN INC | $14K | $0 | $14K | 4.93% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 2121 N CALIFORNIA BLVD SUITE 1000 WALNUT CREEK, CA 94596 | KAISER FOUNDATION HEALTH PLAN INC | $0 | $1 | $1 | 0.00% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5300 STEVENS CREEK BLVD 3RD FL SAN JOSE, CA 95129 | VISION SERVICE PLAN | $1K | $0 | $1K | 3.44% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET 6TH FLOOR SAN DIEGO, CA 921018156 | VISION SERVICE PLAN | $272 | $0 | $272 | 0.70% |
| ACRISURE LLC3 Filed as: SUHR RISK SVCS OF CA AN ACRISURE CO | 5300 STEVENS CREEK BLVD 3RD FL SAN JOSE, CA 95129 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $374 | $0 | $374 | 10.28% |
| CLAREMONT BUSINESS GROUP3 Filed as: CLAREMONT BUSINESS GROUP INC | 1000 BURNETT AVE SUITE 440 CONCORD, CA 94520 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $187 | $0 | $187 | 5.14% |
| ACRISURE LLC3 Filed as: ACRISURE OF CA LLC | 9655 GRANITE RIDGE DR SUITE 500 SAN DIEGO, CA 92123 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION | $0 | $27 | $27 | 0.74% |
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 | 401 | 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) | 401 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 466 | $3.4M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,004 | $480K |
| Vision | VISION SERVICE PLAN | 366 | $39K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,004 | $477K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,004 | $477K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,004 | $477K |
| Prescription drug(3 contracts, 2 carriers) | CALIFORNIA PHYSICIANS' SERVICE | 466 | $3.4M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 1,004 | $477K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,004 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.