| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUHR RISK SERVICES3 | 5300 STEVENS CREEK BLVD. SAN JOSE, CA 95129 | KAISER FOUNDATION HEALTH PLAN INC. | $56K | — | $56K | 4.75% |
| SUHR RISK SERVICES3 | 5300 STEVENS CREEK BLVD. SAN JOSE, CA 95129 | BLUE CROSS OF CALIFORNIA | $38K | — | $38K | 4.66% |
| SUHR RISK SERVICES3 | 5300 STEVENS CREEK BLVD. SAN JOSE, CA 95129 | VISION SERVICE PLAN | $1K | — | $1K | 4.76% |
| SUHR RISK SERVICES3 | 5300 STEVENS CREEK BLVD. SAN JOSE, CA 95129 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 13.75% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN STREET, 21ST FLOOR SAN FRANCISCO, CA 94105 | STANDARD INSURANCE COMPANY | — | $815 | $815 | 4.02% |
| SUHR RISK SERVICES3 | 5300 STEVENS CREEK BLVD. SAN JOSE, CA 95129 | STANDARD INSURANCE COMPANY | $2K | — | $2K | 8.94% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN STREET, 21ST FLOOR SAN FRANCISCO, CA 94105 | STANDARD INSURANCE COMPANY | — | $687 | $687 | 4.04% |
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 | 190 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 254 | $2.0M |
| Vision | VISION SERVICE PLAN | 176 | $29K |
| Life insurance | STANDARD INSURANCE COMPANY | 190 | $17K |
| Long-term disability | STANDARD INSURANCE COMPANY | 190 | $20K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 254 | $2.0M |
| Other | STANDARD INSURANCE COMPANY | 190 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 254 | — |
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."
No prospect flags tripped on this filing.