| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON RISK INSURANCE SERVICES | 75 REMITTANCE DRIVE, SUITE 1446 CHICAGO, IL 60675 | BLUE CROSS OF CALIFORNIA | $108K | — | $108K | 2.96% |
| BEERE & PURVES INC3 Filed as: BEERE & PURVES | 1350 TREAT BOULEVARD, SUITE 470 WALNUT CREEK, CA 94597 | BLUE CROSS OF CALIFORNIA | — | $72K | $72K | 1.97% |
| AON CONSULTING INC3 | 1 PIEDMONT CENTER NE, SUITE 600 ATLANTA, GA 303051501 | METROPOLITAN LIFE INSURANCE COMPANY | $26K | $80 | $26K | 4.96% |
| TCS INSURANCE AGENCY INC3 | 101 LARKSPUR LANDING CIRCLE SUITE 116 LARKSPUR, CA 94939 | SUN LIFE ASSURANCE COMPANY OF CANADA | $19K | — | $19K | 5.34% |
| MEDICAL GROUP INSURANCE SERVICES3 Filed as: MEDICAL GROUP INSURANCE SVCS., INC. | 1849 WEST NORTH TEMPLE SALT LAKE CITY, UT 84116 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $180 | $180 | 0.05% |
| AON CONSULTING INC3 Filed as: AON RISK INSURANCE SERVICES | 75 REMITTANCE DRIVE, SUITE 1446 CHICAGO, IL 60675 | DELTA DENTAL OF CALIFORNIA | $8K | — | $8K | 3.00% |
| AON CONSULTING INC3 Filed as: AON RISK INSURANCE SERVICES | 5260 N PALM AVENUE, SUITE 400 FRESNO, CA 937042217 | VISION SERVICE PLAN | $1K | — | $1K | 4.63% |
| AON CONSULTING INC3 Filed as: AON CONSULTING & INSURANCE | P.O. BOX 905494 CHARLOTTE, NC 28205 | HARTFORD LIFE AND ACCIDENT | $4K | $109 | $4K | 15.45% |
| AON CONSULTING INC3 Filed as: AON RISK INSURANCE SERVICES | 75 REMITTANCE DRIVE, SUITE 1446 CHICAGO, IL 60675 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $351 | — | $351 | 2.96% |
| BEERE & PURVES INC3 Filed as: BEERE & PURVES | 1350 TREAT BOULEVARD, SUITE 470 WALNUT CREEK, CA 94597 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | — | $233 | $233 | 1.97% |
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 | 161 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS OF CALIFORNIA | 477 | $3.6M |
| Dental | DELTA DENTAL OF CALIFORNIA | 477 | $274K |
| Vision | VISION SERVICE PLAN | 157 | $31K |
| Life insurance(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 162 | $535K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 160 | $360K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 160 | $360K |
| Prescription drug | BLUE CROSS OF CALIFORNIA | 477 | $3.6M |
| Other(2 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 162 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 477 | — |
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.