| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MALLOY IMRIE & VASCONI INS. SVS.3 | PO BOX 725 SAINT HELENA, CA 94574 | KAISER FOUNDATION HEALTH PLAN INC. | $18K | — | $18K | 2.76% |
| UBF INSURANCE SERVICES, INC.3 Filed as: UBF INSURANCE SERVICES INC. | 2033 N. MAIN ST. STE. 700 WALNUT CREEK, CA 94596 | KAISER FOUNDATION HEALTH PLAN INC. | $6K | — | $6K | 0.91% |
| MALLOY IMRIE & VASCONI INS. SVCS3 | 899 ADAMS ST. SUITE C SAINT HELENA, CA 94574 | SUTTER HEALTH PLAN | $9K | — | $9K | 3.85% |
| UBF INSURANCE SERVICES, INC.3 Filed as: UBF INSURANCE SERVICES INC. | 2033 N MAIN ST. STE. 700 WALNUT CREEK, CA 94596 | SUTTER HEALTH PLAN | $7K | — | $7K | 3.05% |
| UBF INSURANCE SERVICES, INC.3 Filed as: UBF CONSULTING INC. | 2033 N MAIN ST. STE. 700 WALNUT CREEK, CA 94596 | SUTTER HEALTH PLAN | $874 | — | $874 | 0.38% |
| MALLOY IMRIE & VASCONI INS. SVCS3 | PO BOX 725 SAINT HELENA, CA 945740725 | VISION SERVICE PLAN | $524 | — | $524 | 4.38% |
| UBF INSURANCE SERVICES, INC.3 Filed as: UBF INSURANCE SERVICES INC. | 2033 N. MAIN ST. STE. 700 WALNUT CREEK, CA 945963713 | VISION SERVICE PLAN | $296 | — | $296 | 2.47% |
| UBF INSURANCE SERVICES, INC.3 Filed as: UBF INSURANCE SERVICES INC. | 2033 N. MAIN ST. STE. 700 WALNUT CREEK, CA 94596 | METROPOLITAN LIFE INSURANCE COMPANY | $207 | — | $207 | 3.00% |
| MALLOY IMRIE & VASCONI INS. SVCS3 | PO BOX 725 SAINT HELENA, CA 94574 | METROPOLITAN LIFE INSURANCE COMPANY | $199 | — | $199 | 2.88% |
| MALLOY IMRIE & VASCONI INS. SVS.3 | PO BOX 640 NAPA, CA 94559 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $519 | — | $519 | 9.61% |
| UBF INSURANCE SERVICES, INC.3 Filed as: UBF INSURANCE SERVICES INC. | 2033 NORTH MAIN ST. WALNUT CREEK, CA 94596 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $146 | — | $146 | 2.70% |
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 | 116 | 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) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 67 | $893K |
| Vision | VISION SERVICE PLAN | 109 | $12K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 107 | $5K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 116 | $7K |
| Prescription drug | SUTTER HEALTH PLAN | 26 | $227K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 107 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 116 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.