| 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. | $27K | — | $27K | 4.23% |
| MALLOY IMRIE & VASCONI INS. SVCS3 | 899 ADAMS ST. SUITE C SAINT HELENA, CA 94574 | SUTTER HEALTH PLAN | $15K | — | $15K | 5.00% |
| MALLOY IMRIE & VASCONI INS. SVCS3 | PO BOX 725 SAINT HELENA, CA 945740725 | VISION SERVICE PLAN | $827 | — | $827 | 6.78% |
| MALLOY IMRIE & VASCONI INS. SVCS3 | PO BOX 725 SAINT HELENA, CA 94574 | METROPOLITAN LIFE INSURANCE COMPANY | $412 | — | $412 | 4.55% |
| MALLOY IMRIE & VASCONI INS. SVS.3 | PO BOX 640 NAPA, CA 94559 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $719 | — | $719 | 10.96% |
| UBF INSURANCE SERVICES, INC.3 Filed as: UBF INSURANCE SERVICES INC. | 2033 NORTH MAIN ST. WALNUT CREEK, CA 94596 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $2 | — | $2 | 0.03% |
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 | 131 | 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) | 131 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 69 | $939K |
| Vision | VISION SERVICE PLAN | 113 | $12K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 120 | $7K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 130 | $9K |
| Prescription drug | SUTTER HEALTH PLAN | 30 | $294K |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 125 | $12K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.