| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE DRIVE, SUITE 500 SAN DIEGO, CA 92122 | KAISER FOUNDATION HEALTH PLAN INC. | — | $36K | $36K | 0.25% |
| MARSH & MCLENNAN AGENCY LLC3 | 9171 TOWNE CENTRE DRIVE, SUITE 500 SAN DIEGO, CA 92122 | KAISER FOUNDATION HEALTH PLAN INC. | — | $6K | $6K | 0.33% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS EIN 95-4331852 NONE | Other fees; Other services; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Claims processing Service code 12 | — | $1.3M |
| DELTA DENTAL PLAN OF CALIFORNIA EIN 94-1461312 NONE | Claims processing Service code 12 | — | $285K |
| MORNEAU SHAPELL EIN 41-1981625 NONE | Contract Administrator Service code 13 | — | $231K |
| BARNEY & BARNEY, LLC EIN 95-2156846 NONE | Insurance agents and brokers Service code 22 | — | $149K |
| CONEXIS EIN 20-0198855 NONE | Claims processing Service code 12 | — | $57K |
| RENGER CORPORATION EIN 27-0290605 NONE | Other services Service code 49 | — | $33K |
| BURR PILGER MAYER EIN 81-4234542 NONE | Accounting (including auditing) Service code 10 | — | $29K |
| MAXIM HEALTH SYSTEMS NONE | Other services Service code 49 | 7227 LEE DEFOREST DR, COLUMBIA, MD 21046 | $23K |
| LOREN MYERS & ASSOCIATES EIN 95-3879885 NONE | Other services Service code 49 | — | $17K |
| WAGEWORKS EIN 94-3351864 NONE | Other services Service code 49 | — | $11K |
| INTL. CORP. VIDEO NONE | Other services Service code 49 | 3908 VALLEY AVENUE, SUITE A PLEASANTON, CA 94566 | $9K |
| 24 HOUR FITNESS CORP. EIN 94-2899899 NONE | Other services Service code 49 | — | $5K |
| HERCULES FITNESS GYM CORP. NONE | Other services Service code 49 | 600 ALFRED NOBEL DR. HERCULES, CA 94547 | $5K |
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 | 3,372 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 63 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,435 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 3,429 | $17.4M |
| Dental | HAWAII MEDICAL SERVICE ASSOCIATION | 1 | $21K |
| Vision | VISION SERVICE PLAN | 2,857 | $516K |
| Life insurance | STANDARD INSURANCE COMPANY | 3,375 | $2.0M |
| Short-term disability | STANDARD INSURANCE COMPANY | 3,370 | $1.1M |
| Long-term disability | STANDARD INSURANCE COMPANY | 3,372 | $1.2M |
| Prescription drug(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,795 | $17.3M |
| Stop-loss / reinsurancereinsurance | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,728 | $257K |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 3,429 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,429 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.