| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 3111 CAMINO DEL RIO N. SUITE 1100 SAN DIEGO, CA 92108 | BLUE SHIELD OF CALIFORNIA | $27K | $107 | $27K | 0.75% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SRV.OF CA, INC. | 1277 TREAT BLVD STE 400 WALNUT CREEK, CA 94597 | BLUE SHIELD OF CALIFORNIA | $21K | — | $21K | 0.59% |
| HEFFERNAN INSURANCE BROKERS3 | PO BOX 4006 WALNUT CREEK, CA 945961796 | KAISER FOUNDATION HEALTH PLAN INC. | $47 | — | $47 | 0.01% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES, INC | — | BLUE SHIELD OF CA LIFE & HEALTH | $14K | — | $14K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | — | $7K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 13.23% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $203 | $10K | 41.35% |
| RELATION INSURANCE INC3 Filed as: RELATION INS SERV OF CA INC | 2290 HUNTINGTON DR STE 200 SAN MARINO, CA 911082639 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 25.92% |
| HEFFERNAN INSURANCE BROKERS3 Filed as: HEFFERNAN INS BROKERS | 1350 CARLBACK AVE WALNUT CREEK, CA 945967299 | METROPOLITAN LIFE INSURANCE COMPANY | $137 | — | $137 | 0.55% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 7.66% |
| RELATION INSURANCE INC3 Filed as: RELATION INS SVCS OF CA INC | 7675 N INGRAM #103 FRESNO, CA 93711 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 7.34% |
| RELATION INSURANCE INC3 Filed as: RELATION INS SERV. OF CA, INC. | 2290 HUNTINGTON DR STE 200 SAN MARINO, CA 91108 | METLIFE LEGAL PLANS | $1K | $72 | $1K | 8.10% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE - EB COMMISSION | PO BOX 896620 CHARLOTTE, NC 28289 | METLIFE LEGAL PLANS | $257 | — | $257 | 1.63% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC | PO BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $130 | $5K | 35.70% |
| RELATION INSURANCE INC3 Filed as: RELATION INS SERV. OF CA, INC. | 2290 HUNTINGTON DR STE 200 SAN MARINO, CA 911082639 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 26.99% |
| HEFFERNAN INSURANCE BROKERS3 Filed as: HEFFERNAN INS BROKERS | 1350 CARLBACK AVE WALNUT CREEK, CA 945967299 | METROPOLITAN LIFE INSURANCE COMPANY | $97 | — | $97 | 0.65% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $758 | — | $758 | 7.53% |
| RELATION INSURANCE INC3 Filed as: RELATION INS SVCS OF CA INC | 7675 N INGRAM #103 FRESNO, CA 93711 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $751 | — | $751 | 7.46% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $300 | — | $300 | 15.01% |
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 | 1,268 | 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) | 1,268 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 287 | $7.0M |
| Dental | BLUE SHIELD OF CALIFORNIA | 287 | $3.6M |
| Vision | BLUE SHIELD OF CALIFORNIA | 287 | $3.6M |
| Life insurance | BLUE SHIELD OF CA LIFE & HEALTH | 1,250 | $94K |
| Short-term disability(3 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 297 | $56K |
| Long-term disability(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 297 | $46K |
| Prescription drug(3 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 287 | $7.0M |
| Other(4 contracts, 3 carriers) | BLUE SHIELD OF CA LIFE & HEALTH | 1,250 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,250 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.