| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 910 E HAMILTON AVE STE 410 CAMPBELL, CA 95008 | KAISER FOUNDATION HEALTH PLAN | $70K | $17 | $70K | 4.93% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 5300 STEVENS CREEK BLVD 3RD FL SAN JOSE, CA 94097 | UNITEDHEALTHCARE INSURANCE COMPANY | $37K | — | $37K | 5.00% |
| ROBERT B. SUHR & COMPANY3 Filed as: ROBERT B SUHR & COMPANY | INSURANCE BROKER 5300 STEVEN CREEK BLVD SAN JOSE, CA 95129 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 2.64% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 910 E HAMILTON AVE STE 410 CAMPBELL, CA 95008 | DELTA DENTAL OF CALIFORNIA | $2K | — | $2K | 1.36% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 910 E HAMILTON AVE STE 410 CAMPBELL, CA 95008 | SUN LIFE ASSURANCE COMPANY OF CANADA | $10K | — | $10K | 10.11% |
| ROBERT B. SUHR & COMPANY3 | INSURANCE BROKERS INC 5300 STEVENS CREEK BLVD SAN JOSE, CA 95129 | DELTA DENTAL OF CALIFORNIA | $4K | — | $4K | 6.57% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 910 E HAMILTON AVE STE 410 CAMPBELL, CA 95008 | DELTA DENTAL OF CALIFORNIA | $2K | — | $2K | 3.43% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA, LLC | 910 E HAMILTON AVE STE 410 CAMPBELL, CA 95008 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $1K | $3K | 14.86% |
| SUHR RISK SERVICES3 Filed as: SUHR RISK SERVICES OF CA | 5300 STEVENS CREEK BLVD 3RD FL SAN JOSE, CA 95129 | LANDMARK HEALTHPLAN | $164 | — | $164 | 10.02% |
| SUHR RISK SERVICES3 Filed as: SUHR RISK SERVICES OF CA | 5300 STEVENS CREEK BLVD 3RD FL SAN JOSE, CA 95129 | LANDMARK HEALTHPLAN | $32 | — | $32 | 10.06% |
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 | 407 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 407 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN | 280 | $2.2M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 197 | $187K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 339 | $96K |
| Life insurance(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 436 | $118K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 339 | $96K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 436 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 436 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.