| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 3 EMBARCADERO CENTER, SUITE 600 SAN FRANCISCO, CA 94111 | KAISER FOUNDATION HEALTH PLAN, INC. | $29K | $0 | $29K | 3.83% |
| LOCKTON COMPANIES, LLC3 | 65 MEMORIAL ROAD WEST HARTFORD, CT 06107 | PRINCIPAL LIFE INSURANCE COMPANY | $16K | — | $16K | 6.43% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $1K | $1K | 0.42% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 5.56% |
| LOCKTON COMPANIES, LLC3 | 500 WEST MONROE STREET, SUITE 3400 CHICAGO, IL 60661 | CALIFORNIA DENTAL NETWORK, INC. | $894 | — | $894 | 10.00% |
| AMWINS3 Filed as: AMWINS CONNECT INS SVCS, LLC | 2677 NORTH MAIN STREET, SUITE 800 SANTA ANA, CA 92705 | CALIFORNIA DENTAL NETWORK, INC. | $467 | — | $467 | 5.23% |
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 | 370 | 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) | 370 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 56 | $762K |
| Dental(3 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 483 | $288K |
| Vision(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 483 | $279K |
| Life insurance(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 483 | $279K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 56 | $762K |
| Other(2 contracts) | PRINCIPAL LIFE INSURANCE COMPANY | 483 | $279K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 483 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.