| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN INC | $3K | — | $3K | 0.94% |
| GCG FINANCIAL LLC3 Filed as: WILSON ALBERS AN ALERA GROUP | AGENCY LLC 3000 A STREET STE 400 ANCHORAGE, AK 99503 | KAISER FOUNDATION HEALTH PLAN INC | $270 | — | $270 | 0.09% |
| CAPITAL CITY BENEFITS3 Filed as: CAPITAL CITY BENEFITS & INSURANCE | SERVICES 400 SUNRISE AVE STE 250 ROSEVILLE, CA 95661 | KAISER FOUNDATION HEALTH PLAN INC | $116 | — | $116 | 0.04% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 209 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN INC | $955 | — | $955 | 0.89% |
| GCG FINANCIAL LLC3 Filed as: WILSON ALBERS AN ALERA GROUP | AGENCY LLC 3000 A STREET STE 400 ANCHORAGE, AK 99503 | KAISER FOUNDATION HEALTH PLAN INC | $156 | — | $156 | 0.15% |
| CAPITAL CITY BENEFITS3 Filed as: CAPITAL CITY BENEFITS & INSURANCE | SERVICES 400 SUNRISE AVE STE 250 ROSEVILLE, CA 95661 | KAISER FOUNDATION HEALTH PLAN INC | $67 | — | $67 | 0.06% |
| DIGITAL INSURANCE LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | $4K | $9K | 10.79% |
| CENTRO BENEFITS RESEARCH LLC3 | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 30339 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 2.95% |
| CLARK & ASSOCIATES3 | 5470 RENO CORPORATE DRIVE RENO, NV 89511 | PROMINENCE HEALTH PLAN | $5K | — | $5K | 9.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN INSURANCE ADMINISTRATO | 721 S PARKER STE 300 ORANGE, CA 92868 | PROMINENCE HEALTH PLAN | $1 | — | $1 | 0.00% |
| ENROLLEASE3 Filed as: ONEDIGITAL DIGITAL INSURANCE INC | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | PROMINENCE HEALTH PLAN | $1 | — | $1 | 0.00% |
| PCF INSURANCE SERVICES OF THE WEST3 Filed as: PCF INS SERV OF THE WEST | 5470 RENO CORPORATE DRIVE RENO, NV 89511 | PROMINENCE HEALTH PLAN | $1 | — | $1 | 0.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | KASIER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS INC | $3K | — | $3K | 5.06% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE INC | 200 GALLERIA PKWY STE 1950 ATLANTA, GA 30339 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $2K | — | $2K | 4.60% |
| GCG FINANCIAL LLC3 Filed as: WILSON ALBERS AN ALERA GROUP | AGENCY LLC 4733 TACOMA MALL BLVD STE 200 TACOMA, WA 98409 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $153 | — | $153 | 0.31% |
| CAPITAL CITY BENEFITS3 Filed as: CAPITAL CITY BENEFITS & INSURANCE | SERVICES 400 SUNRISE AVE STE 250 ROSEVILLE, CA 95661 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $65 | — | $65 | 0.13% |
| CLARK & ASSOCIATES3 | 5470 RENO CORPORATE DRIVE RENO, NV 89511 | PROMINENCE HEALTH PLAN | $1K | — | $1K | 5.59% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN INSURANCE ADMINISTRATO | 721 PARKER STE 300 ORANGE, CA 92868 | PROMINENCE HEALTH PLAN | $1 | — | $1 | 0.00% |
| BONNIE GENTRY3 | 3000 A STREET STE 400 ANCHORAGE, AK 99503 | PROMINENCE HEALTH PLAN | $1 | — | $1 | 0.00% |
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 | 171 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 171 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 58 | $612K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $83K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $83K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 195 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.