| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WALSH CARTER AND ASSOC. INS. SVCS.3 Filed as: WALSH CARTER AND ASSOC. INS., SVCS. | 425 CALIFORNIA STREET, SUITE 400 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN INC | $27K | $0 | $27K | 3.23% |
| 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 | $6K | $0 | $6K | 4.27% |
| WALSH CARTER AND ASSOC. INS. SVCS.3 Filed as: WALSH CARTER AND ASSOC. INC., SVCS. | 425 CALIFORNIA STREET, SUITE 400 SAN FRANCISCO, CA 94104 | UNION SECURITY INSURANCE COMPANY | $339 | $0 | $339 | 0.23% |
| WALSH CARTER AND ASSOC. INS. SVCS.3 Filed as: WALSH CARTER AND ASSOC. INS., SVCS. | 425 CALIFORNIA STREET, SUITE 400 SAN FRANCISCO, CA 94104 | HARTFORD LIFE AND ACCIDENT | $3K | $0 | $3K | 13.74% |
| WALSH CARTER AND ASSOC. INS. SVCS.3 Filed as: WALSH CARTER AND ASSOC. INS., SVCS. | 425 CALIFORNIA STREET, 4TH FLOOR SAN FRANCISCO, CA 94104 | VISION SERVICE PLAN | $757 | $0 | $757 | 7.42% |
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 | 163 | 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) | 163 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 149 | $845K |
| Dental | UNION SECURITY INSURANCE COMPANY | 150 | $150K |
| Vision | VISION SERVICE PLAN | 102 | $10K |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 163 | $169K |
| Short-term disability | UNION SECURITY INSURANCE COMPANY | 150 | $150K |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 163 | $19K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 149 | $845K |
| Other(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 163 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 163 | — |
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.