| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MACCORKLE INSURANCE SERVICES3 Filed as: MACCORKLE INSURANCE SERVICE | 577 AIRPORT BLVD STE 500 BURLINGAME, CA 94010 | HEALTH NET | $44K | — | $44K | 4.06% |
| MACCORKLE INSURANCE SERVICES3 | 577 AIRPORT BLVD STE 500 BURLINGAME, CA 940102023 | KAISER FOUNDATION HEALTH PLAN INC | $41K | — | $41K | 5.04% |
| EMMETT W MACCORKLE INC3 | 577 AIRPORT BLVD STE 500 BURLINGAME, CA 940102023 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $626 | $4K | 13.27% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST BOSTON, MA 021101700 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 4.01% |
| EMMETT W MACCORKLE INC3 | 577 AIRPORT BLVD STE 500 BURLINGAME, CA 940102023 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $617 | $4K | 13.68% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST BOSTON, MA 021101700 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $955 | — | $955 | 3.72% |
| MACCORKLE INSURANCE SERVICES3 | 577 AIRPORT BLVD STE 500 BURLINGAME, CA 940102023 | VISION SERVICE PLAN | $987 | $119 | $1K | 6.64% |
| EMMETT W MACCORKLE INC3 | 577 AIRPORT BLVD STE 500 BURLINGAME, CA 940102023 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $358 | $2K | 13.34% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL ST BOSTON, MA 021101700 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $612 | — | $612 | 4.00% |
| MACCORKLE INSURANCE SERVICES3 Filed as: MACCORKLE INSURANCE SERVICE | — | DELTA DENTAL OF CALIFORNIA | $405 | — | $405 | 9.14% |
| DDC BROKER - DIGITAL INSURANCE3 Filed as: DDC BROKER - MACCORKLE INS SERVICE | — | DELTA DENTAL OF CALIFORNIA | $11K | — | $11K | — |
| MACCORKLE INSURANCE SERVICES3 Filed as: MACCORKLE INSURANCE SERVICE | — | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | — |
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 | 168 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 170 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 135 | $1.9M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 288 | $4K |
| Vision | VISION SERVICE PLAN | 145 | $17K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 168 | $53K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 168 | $15K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 168 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 288 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.