| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 790 MISSION AVENUE SAN RAFAEL, CA 94901 | KAISER FOUNDATION HEALTH PLAN INC | $36K | — | $36K | 3.48% |
| ALLIANT INSURANCE SERVICES, INC.3 | 560 MISSION STREET, 6TH FLOOR SAN FRANCISCO, CA 94105 | KAISER FOUNDATION HEALTH PLAN INC | $4K | — | $4K | 0.34% |
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 790 MISSION AVENU8 SAN RAFAEL, CA 94901 | UNITED HEALTHCARE INSURANCE COMPANY | $37K | — | $37K | 5.51% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SVCS LLC | 2671 N MAIN STREET, SUITE 500 SANTA ANA, CA 92705 | UNITED HEALTHCARE INSURANCE COMPANY | $13K | — | $13K | 2.00% |
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 899 NORTHGATE DRIVE SAN RAFAEL, CA 94903 | STANDARD INSURANCE COMPANY | $19K | $1K | $21K | 19.92% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD, 2ND FLOOR HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $3K | $383 | $3K | 3.14% |
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 790 MISSION AVENUE SAN RAFAEL, CA 94901 | STANDARD INSURANCE COMPANY | — | $1K | $1K | 1.39% |
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 899 NORTHGATE DRIVE SAN RAFAEL, CA 94903 | STANDARD INSURANCE COMPANY | $5K | $647 | $6K | 25.73% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD, 2ND FLOOR HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $1K | $227 | $1K | 5.58% |
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 790 MISSION AVENUE SAN RAFAEL, CA 94901 | STANDARD INSURANCE COMPANY | — | $721 | $721 | 3.20% |
| ALLIANT INSURANCE SERVICES, INC.3 | 560 MISSION STREET, 6TH FLOOR SAN FRANCISCO, CA 94105 | STANDARD INSURANCE COMPANY | $483 | — | $483 | 2.14% |
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 790 MISSION AVENUE SAN RAFAEL, CA 94901 | STANDARD INSURAMCE COMPANY | $2K | $518 | $3K | 22.54% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD, 2ND FLOOR HAUPPAUGE, NY 11788 | STANDARD INSURAMCE COMPANY | $338 | $90 | $428 | 3.48% |
| ALLIANT INSURANCE SERVICES, INC.3 | 560 MISSION STREET, 6TH FLOOR SAN FRANCISCO, CA 94105 | STANDARD INSURAMCE COMPANY | $206 | — | $206 | 1.68% |
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 790 MISSION AVENUE SAN RAFAEL, CA 94901 | STANDARD INSURANCE COMPANY | $3K | $317 | $3K | 25.72% |
| PROFESSIONAL GROUP PLANS INC3 | 225 WIRELESS BLVD, 2ND FLOOR HAUPPAUGE, NY 11788 | STANDARD INSURANCE COMPANY | $507 | $111 | $618 | 5.58% |
| ROBERT C PLACAK & ASSOCIATES3 Filed as: ROBERT C PLACAK & ASSOCIATES, INC | 790 MISSION AVENUE SAN RAFAEL, CA 94901 | STANDARD INSURANCE COMPANY | — | $355 | $355 | 3.20% |
| ALLIANT INSURANCE SERVICES, INC.3 | 560 MISSION STREET, 6TH FLOOR SAN FRANCISCO, CA 94105 | STANDARD INSURANCE COMPANY | $237 | — | $237 | 2.14% |
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 | 106 | 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) | 106 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 89 | $1.7M |
| Dental | STANDARD INSURANCE COMPANY | 99 | $105K |
| Vision | STANDARD INSURAMCE COMPANY | 99 | $12K |
| Life insurance | STANDARD INSURANCE COMPANY | 107 | $11K |
| Long-term disability | STANDARD INSURANCE COMPANY | 107 | $23K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 89 | $1.7M |
| Other | STANDARD INSURANCE COMPANY | 107 | $11K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 107 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.