| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALSH CARTER AND ASSOC. INS. SVCS.3 | 425 CALIFORNIA STREET, SUITE 400 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN INC | $25K | — | $25K | 2.97% |
| WALSH CARTER AND ASSOC. INS. SVCS.3 Filed as: WALSH CARTER AND ASSOC. INS., SVCS. | 425 CALIFORNIA STREET, SUITE 400 SAN FRANCISCO, CA 94104 | UNION SECURITY INSURANCE COMPANY | $7K | — | $7K | 4.64% |
| WALSH CARTER AND ASSOC. INS. SVCS.3 | 425 CALIFORNIA STREET, SUITE 400 SAN FRANCISCO, CA 94104 | HARTFORD LIFE AND ACCIDENT | $2K | — | $2K | 15.11% |
| AMWINS3 Filed as: LISI, INC. | 1600 WEST HILLSDALE BOULEVARD SAN MATEO, CA 94402 | HARTFORD LIFE AND ACCIDENT | — | $2 | $2 | 0.01% |
| WALSH CARTER AND ASSOC. INS. SVCS.3 Filed as: WALSH CARTER & ASSOC. INS. SVCS. | 425 CALIFORNIA STREET, 4TH FLOOR SAN FRANCISCO, CA 94104 | VISION SERVICE PLAN | $638 | — | $638 | 7.45% |
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 | 164 | 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) | 164 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 155 | $989K |
| Dental | UNION SECURITY INSURANCE COMPANY | 142 | $147K |
| Vision | VISION SERVICE PLAN | 100 | $9K |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 164 | $163K |
| Short-term disability | UNION SECURITY INSURANCE COMPANY | 142 | $147K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 164 | $16K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 155 | $841K |
| Other(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 164 | $163K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 164 | — |
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.