| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BOULEVARD SUITE 600 GLENDALE, CA 91203 | KAISER FOUNDATION HEALTH PLAN INC | $53K | $13 | $53K | 3.10% |
| FILICE INSURANCE AGENCY3 | 738 NORTH 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC | $19K | $0 | $19K | 1.11% |
| PLEASANTON VALLEY INSURANCE3 Filed as: PLEASANTON VALLEY INS. BROKERS INC. | 6602 OWENS DRIVE, SUITE 200 PLEASANTON, CA 94588 | KAISER FOUNDATION HEALTH PLAN INC | $13K | $0 | $13K | 0.74% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $2K | $11K | 6.04% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRSISES, INC. | 738 NORTH 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $2K | $10K | 5.69% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | 5110 NORTH 40TH STREET, SUITE 234 PHOENIX, AZ 85018 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $0 | $7K | 3.93% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRSISES, INC. | 738 NORTH 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | AFLAC | $7K | $0 | $7K | 14.76% |
| ANDREA GIBSON-NOBLES3 | 2708 FOOTHILL AVENUE RICHMOND, CA 94804 | AFLAC | $3K | $76 | $3K | 7.37% |
| MJ INSURANCE3 Filed as: CHRIS BRANSON AND VARIOUS AGENTS | 6601 BACK BAY LANE AUSTIN, TX 78739 | AFLAC | $2K | $0 | $2K | 3.93% |
| TRULY B. PINEDA3 | 601 MONTGOMERY STREET, SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $2K | $0 | $2K | 3.52% |
| MATT SMITH3 | 509 20TH AVENUE SAN FRANCISCO, CA 94121 | AFLAC | $1K | $0 | $1K | 2.41% |
| RONALD E. HENDRICKSON3 | 973 SPRINGVIEW CIRCLE SAN RAMON, CA 94583 | AFLAC | $643 | $0 | $643 | 1.42% |
| CHRIS BRANSON3 | 9206 COLBERG DRIVE AUSTIN, TX 78749 | AFLAC | $363 | $0 | $363 | 0.80% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRSISES | 738 NORTH 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | VISION SERVICE PLAN | $2K | $0 | $2K | 6.00% |
| GALLAGHER BENEFIT SERVICES, INC.4 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | VISION SERVICE PLAN | $1K | $0 | $1K | 3.78% |
| PLEASANTON VALLEY INSURANCE3 | 6602 OWENS DRIVE, SUITE 200 PLEASANTON, CA 94588 | VISION SERVICE PLAN | $374 | $0 | $374 | 1.32% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 1255 BATTERY STREET, SUITE 450 SAN FRANCISCO, CA 94111 | CLAREMONT | $486 | $0 | $486 | 3.76% |
| FILICE INSURANCE AGENCY3 | 738 NORTH 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | CLAREMONT | $160 | $0 | $160 | 1.24% |
| WAYNE RIMMER3 Filed as: WAYNE P. SMITH | 1113 WEST GROVE WAY COER DALENE, ID 83815 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $51 | $0 | $51 | 1.10% |
| G SCOTT COOKE3 Filed as: SCOTT ALLEN BEER | 8385 NORTH RAISINA AVENUE FRESNO, CA 93720 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $37 | $0 | $37 | 0.80% |
| HOLLERN & ASSOCIATES INCORPORATED3 Filed as: HOLLERN AND ASSOCIATES INCORPORATED | 11412 ROBBIA DRIVE LAS VEGAS, NV 89138 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | $0 | $9 | 0.19% |
| CHRISTINA MARIE ALTOMARE3 | 1692 CRESCENT DRIVE WALNUT CREEK, CA 94598 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | $0 | $1 | 0.02% |
| TERRI A. MENDEZ4 | 2610 HSADOW BERRY DRIVE MANTECA, CA 95336 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $123 | $0 | $123 | 10.16% |
| INTEGRITY ASSET SERVICES LLC4 Filed as: INTEGRITY ASSET SERVICES, LLC | 1873 KOYUKON DRIVE SOUTH LAKE TAHOE, CA 96150 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $59 | $0 | $59 | 4.87% |
| JOANNA MEDIN4 | 940 SAINT JOSEPH AVENUE LOS ALTOS, CA 94024 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $17 | $0 | $17 | 1.40% |
| GALLAGHER BENEFIT SERVICES, INC.4 | 2850 GOLF ROAD, SUITE 1000 ROLLING MEADOWS, IL 60008 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $10 | $0 | $10 | 0.83% |
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 | 162 | 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) | 162 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 260 | $1.7M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 328 | $221K |
| Vision | VISION SERVICE PLAN | 128 | $28K |
| Life insurance(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 328 | $226K |
| Short-term disability(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 328 | $226K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 328 | $176K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 260 | $1.7M |
| Other(5 contracts, 5 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 328 | $240K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 328 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.