| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONSTOP ADMINISTRATION & INSURANCE3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 945202146 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $14K | — | $14K | 1.83% |
| NONSTOP ADMINISTRATION & INSURANCE3 | 1800 SUTTER STREET, #730 CONCORD, CA 945202539 | WILLAMETTE DENTAL OF WASHINGTON,INC. | $5K | $10K | $15K | 16.00% |
| NONSTOP ADMINISTRATION & INSURANCE3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 945202146 | HARTFORD LIFE AND ACCIDENT | $5K | — | $5K | 10.73% |
| THE PARTNERS GROUP3 | 11225 SE 6TH STREET, #110 BELLEVUE, WA 980045470 | HARTFORD LIFE AND ACCIDENT | — | $243 | $243 | 0.57% |
| THE PARTNERS GROUP3 | 11740 SW 68TH PARKWAY, #200 PORTLAND, OR 97223 | HARTFORD LIFE AND ACCIDENT | $90 | — | $90 | 0.21% |
| NONSTOP ADMINISTRATION & INSURANCE3 | 1800 SUTTER STREET, #730 CONCORD, CA 945202539 | VISION SERVICE PLAN | $924 | — | $924 | 8.50% |
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 | 130 | 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) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 184 | $756K |
| Dental | WILLAMETTE DENTAL OF WASHINGTON,INC. | 178 | $91K |
| Vision | VISION SERVICE PLAN | 98 | $11K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 130 | $43K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 130 | $43K |
| Other | HARTFORD LIFE AND ACCIDENT | 130 | $43K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.