| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | 1277 TREAT BOULEVARD, SUITE 400 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC. | $144K | $0 | $144K | 5.20% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | 1277 TREAT BOULEVARD, SUITE 650 WALNUT CREEK, CA 94597 | DELTA DENTAL OF CALIFORNIA | $226K | $0 | $226K | 18.32% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | 1277 TREAT BOULEVARD, SUITE 650 WALNUT CREEK, CA 94597 | STANDARD INSURANCE COMPANY | $69K | $2K | $71K | 25.33% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | 1277 TREAT BOULEVARD, SUITE 400 WALNUT CREEK, CA 94597 | STANDARD INSURANCE COMPANY | $920 | $31 | $951 | 0.34% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BOULEVARD, SUITE 400 WALNUT CREEK, CA 94597 | VISION SERVICE PLAN | $28K | $0 | $28K | 20.00% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | 1277 TREAT BOULEVARD, SUITE 400 WALNUT CREEK, CA 94597 | CHINESE COMMUNITY HEALTH PLAN | $6K | $0 | $6K | 5.77% |
| ELEANOR M COLLET3 | UNKNOWN WALNUT CREEK, CA 94597 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $4K | $0 | $4K | 10.00% |
| ASCENSION INSURANCE AGENCY3 | 1277 TREAT BOULEVARD, SUITE 400 WALNUT CREEK, CA 94597 | LANDMARK HEALTHPLAN | $3K | $0 | $3K | 10.00% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BOULEVARD, SUITE 650 WALNUT CREEK, CA 94597 | MANAGED HEALTH NETWORK | $787 | $0 | $787 | 5.00% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BOULEVARD, SUITE 650 WALNUT CREEK, CA 94597 | HEALTH NET LIFE INSURANCE COMPANY | $685 | $0 | $685 | 5.00% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BOULEVARD, SUITE 650 WALNUT CREEK, CA 94597 | MESVISION | $602 | $0 | $602 | 5.20% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BOULEVARD, SUITE 400 WALNUT CREEK, CA 94597 | SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA COMPANY | $2K | $0 | $2K | 20.57% |
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 | 2,018 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 14 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 29 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,061 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 343 | $2.9M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 1,830 | $1.2M |
| Vision(3 contracts, 3 carriers) | VISION SERVICE PLAN | 918 | $192K |
| Life insurance | STANDARD INSURANCE COMPANY | 844 | $279K |
| Short-term disability | STANDARD INSURANCE COMPANY | 844 | $279K |
| Long-term disability | STANDARD INSURANCE COMPANY | 844 | $279K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 343 | $2.9M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 844 | $321K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,830 | — |
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."
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.