| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASCENSION INSURANCE AGENCY3 | 1277 TREAT BOULEVARD SUITE 400 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC | $101K | $0 | $101K | 3.27% |
| PORTAL INSURANCE AGENCY, INC.3 | 1277 TREAT BOULEVARD SUITE 400 WALNUT CREEK, CA 94597 | HEALTHNET | $66K | $0 | $66K | 3.45% |
| PORTAL INSURANCE AGENCY, INC.3 | UNKNOWN SAN FRANCISCO, CA 94108 | DELTA DENTAL OF CALIFORNIA | $12K | $0 | $12K | 3.00% |
| RELATION INSURANCE SERVICES OF CA3 Filed as: RELATION INSURANCE SERVICES | UNKNOWN SAN FRANCISCO, CA 94108 | DELTA DENTAL OF CALIFORNIA | $2 | $0 | $2 | 0.00% |
| ASCENSION INSURANCE AGENCY3 Filed as: ASCENSION INSURANCE AGENCY, INC. | 1277 TREAT BOULEVARD SUITE 400 WALNUT CREEK, CA 94597 | KAISER FOUNDATION HEALTH PLAN INC | $12K | $0 | $12K | 3.03% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BOULEVARD SUITE 650 WALNUT CREEK, CA 94597 | STANDARD INSURANCE COMPANY | $9K | $2K | $11K | 6.00% |
| ASCENSION INSURANCE AGENCY3 | 1277 TREAT BOULEVARD SUITE 400 WALNUT CREED, CA 94597 | EYEMED VISION CARE | $3K | $0 | $3K | 7.42% |
| PORTAL INSURANCE AGENCY, INC.3 | 1277 TREAT BOULEVARD SUITE 400 WALNUT CREEK, CA 94597 | EYEMED VISION CARE | $328 | $0 | $328 | 0.76% |
| BRIAN ROBERT LLOYD3 | 1781 VINEYARD DRIVE SUITE 225 ANTIOCH, CA 94509 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $452 | $770 | $1K | 3.97% |
| CRYSTAL LEIGH LEWIS3 Filed as: CRYSTAL LEIGH LEWIS AND OTHERS | 148 1/2 NORTH 3RD STREET RIO VISTA, CA 94571 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $26 | $1K | 3.58% |
| PORTAL INSURANCE AGENCY, INC.3 Filed as: PORTAL INSURANCE AGENCY INC. | 1277 TREAT BOULEVARD WALNUT CREEK, CA 94597 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $834 | $0 | $834 | 2.71% |
| CANDICE ELISE EUSEBIO3 | 5756 OWENS DRIVE UNIT 205 PLEASANTON, CA 94588 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $551 | $183 | $734 | 2.38% |
| CASEY JAMES KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $97 | $317 | $414 | 1.34% |
| WAYNE RIMMER3 Filed as: WAYNE P. SMITH | 1113 WEST GROVE WAY COEUR DALENE, ID 83815 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $374 | $0 | $374 | 1.21% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 3697 MOUNT DIABLO BOULEVARD LAFAYETTE, CA 94549 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $282 | $0 | $282 | 0.92% |
| PORTAL INSURANCE AGENCY, INC.3 | 1277 TREAT BOULEVARD SUITE 400 WALNUT CREEK, CA 94597 | DELTA DENTAL OF CALIFORNIA | $827 | $0 | $827 | 3.00% |
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 | 430 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 436 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 516 | $5.4M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 681 | $444K |
| Vision | EYEMED VISION CARE | 793 | $43K |
| Life insurance(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 430 | $212K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 40 | $31K |
| Long-term disability | STANDARD INSURANCE COMPANY | 430 | $181K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 516 | $5.4M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 434 | $227K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 793 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.