| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASADENA, CA 91109 | KAISER FOUNDATION HEALTH PLAN, INC. | $274K | $0 | $274K | 2.38% |
| ALLIANT INSURANCE SERVICES, INC.3 | 100 PINE STREET, 11TH FLOOR SAN FRANCISCO, CA 94111 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $53K | $141K | $194K | 2.75% |
| ALLIANT INSURANCE SERVICES, INC.4 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $11K | $0 | $11K | 17.00% |
| TRACY KATZ LLC4 | 1662 EAST MELTON ROAD BIRMINGHAM, MI 48009 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $2K | $0 | $2K | 3.48% |
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 | 16,318 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,626 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4,420 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 22,364 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 2,031 | $11.5M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 16,318 | $7.1M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 16,318 | $7.1M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 16,318 | $7.1M |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 2,031 | $11.5M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 16,318 | $8.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 16,318 | — |
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.