| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, LLC | 3111 CAMINO DEL RIO N. SUITE 1100 SAN DIEGO, CA 92108 | BLUE SHIELD OF CALIFORNIA | $54K | $134 | $54K | 1.40% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES,INC. | 3111 CAMINO DEL RIO N. SUITE 1100 SAN DIEGO, CA 92108 | BLUE SHIELD OF CA LIFE & HEALTH | $17K | — | $17K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, LLC | 3111 CAMINO DEL RIO N. SUITE 1100 SAN DIEGO, CA 92108 | BLUE SHIELD OF CALIFORNIA | $6K | $509 | $7K | 10.65% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SRVS OF CA, INC. | 1277 TREAT BLVD. SUITE 400 WALNUT CREEK, CA 94597 | BLUE SHIELD OF CALIFORNIA | $102 | — | $102 | 0.16% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 7701 AIRPORT CENTER DRIVE SUITE #1800 GREENSBORO, NC 27409 | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | $9K | — | $9K | 15.00% |
| RELATION INSURANCE INC3 Filed as: RELATION INS SERV OF CA INC | 2300 CONTRA COSTA BLVD STE 525 PLEASANT HILL, CA 945233959 | METROPOLITAN LIFE INSURANCE COMPANY | $13K | — | $13K | 23.46% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | $308 | $54 | $362 | 0.67% |
| HEFFERNAN INSURANCE BROKERS3 Filed as: HEFFERNAN INS BROKERS | 1350 CARLBACK AVE WALNUT CREEK, CA 945967299 | METROPOLITAN LIFE INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 15.00% |
| RELATION INSURANCE INC3 Filed as: RELATION INS SERV. OF CA, INC | 2300 CONTRA COSTA BLVD STE 525 PLEASANT HILL, CA 945233959 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | — | $9K | 31.91% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 282896620 | METROPOLITAN LIFE INSURANCE COMPANY | -$132 | $39 | -$93 | -0.33% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 12.58% |
| RELATION INSURANCE INC3 Filed as: RELATION INS SERV. OF CA, INC | 2290 HUNTINGTON DR SUITE 200 SAN MARINO, CA 91108 | METLIFE LEGAL PLANS | $1K | $13 | $1K | 10.09% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | PO BOX 896620 CHARLOTTE, NC 28289 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $544 | — | $544 | 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 | 1,121 | 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) | 1,121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 437 | $5.1M |
| Dental | BLUE SHIELD OF CALIFORNIA | 437 | $3.8M |
| Vision(2 contracts) | BLUE SHIELD OF CALIFORNIA | 437 | $3.9M |
| Life insurance | BLUE SHIELD OF CA LIFE & HEALTH | 1,141 | $110K |
| Short-term disability(4 contracts, 2 carriers) | PACIFIC GUARDIAN LIFE INSURANCE COMPANY, LTD. | 298 | $120K |
| Long-term disability(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 298 | $51K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 437 | $3.8M |
| Other(4 contracts, 3 carriers) | BLUE SHIELD OF CA LIFE & HEALTH | 1,141 | $207K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,141 | — |
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."
No prospect flags tripped on this filing.