| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENBASE INSURANCE SERVICES LLC3 | 380 BRANNAN ST SAN FRANCISCO, CA 94107 | AETNA LIFE INSURANCE CO. | $58K | — | $58K | 2.58% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: DRIVER ALLIANT INSURANCE SERVICES | 9E RIVER PARK PLACE EAST FRESNO, CA 93720 | AETNA LIFE INSURANCE CO. | $43K | — | $43K | 1.91% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: DRIVER ALLIANT INSURANCE SVCS | 9E RIVER PARK PLACE E FL 3 EAST FRESNO, CA 93720 | AETNA LIFE INSURANCE CO. | — | $2K | $2K | 0.08% |
| BENBASE INSURANCE SERVICES LLC3 Filed as: BENBASE INSURANCE SERVICES, LLC | 2261 MARKET ST SUITE 5580 SAN FRANCISCO, CA 94114 | KAISER FOUNDATION HEALTH PLAN, INC. | $8K | — | $8K | 2.76% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 911098299 | KAISER FOUNDATION HEALTH PLAN, INC. | $6K | — | $6K | 2.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | 18100 VON KARMAN AVE FL 10 IRVINE, CA 926120169 | KAISER FOUNDATION HEALTH PLAN, INC. | — | $17 | $17 | 0.01% |
| BENBASE INSURANCE SERVICES LLC3 | 2261 MARKET ST SUITE 5580 SAN FRANCISCO, CA 94114 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $8K | — | $8K | 4.69% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 2185 NORTH CALIFORNIA BLVD. SUITE 400 WALNUT CREEK, CA 94596 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $6K | $427 | $6K | 3.45% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 2030 FALLING WATERS RD STE 290 SAN DIEGO, CA 92101 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 9.72% |
| BENBASE INSURANCE SERICES LLC3 | 2261 MARKET STREET SUITE 5580 SAN FRANCISCO, CA 94114 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 6.94% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 1.27% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $44 | $44 | 0.04% |
| BENBASE INSURANCE SERICES LLC3 | 380 BRANNAN ST SAN FRANCISCO, CO 94107 | AETNA HEALTH, INC. | $1K | — | $1K | 2.44% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: DRIVER ALLIANT INSURANCE SVCS | 9E RIVER PARK PLACE E FL 3 EAST FRESNO, CA 93720 | AETNA HEALTH, INC. | $1K | — | $1K | 2.44% |
| BENBASE INSURANCE SERVICES LLC3 | 2261 MARKET ST SAN FRANCISCO, CA 94114 | VISION SERVICE PLAN | $1K | — | $1K | 3.25% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | VISION SERVICE PLAN | $570 | — | $570 | 1.66% |
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE CO. | 297 | $2.6M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 187 | $172K |
| Vision | VISION SERVICE PLAN | 183 | $34K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 228 | $117K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 228 | $117K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 228 | $117K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 37 | $283K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 228 | $117K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 297 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.