| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 738 N 1ST ST, STE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC | $98K | $2K | $100K | 3.31% |
| FILICE INSURANCE AGENCY Filed as: FILICE INSURANCE SERVICES LLC | 738 N FIRST ST STE 202 SAN JOSE, CA 95112 | DELTA DENTAL OF CALIFORNIA | $22K | — | $22K | 5.21% |
| FILICE INSURANCE AGENCY3 | 738 N 1ST ST. SAN JOSE, CA 95112 | SUTTER HEALTH PLAN | $8K | — | $8K | 4.91% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 738 N FIRST STREET SAN JOSE, CA 95112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | $3K | $11K | 12.18% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES | 738 N 1ST ST, STE 202 SAN JOSE, CA 95112 | VISION SERVICE PLAN | $4K | — | $4K | 9.15% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES | 738 N FIRST STREET SAN JOSE, CA 95112 | DELTA DENTAL OF CALIFORNIA | $872 | — | $872 | 10.46% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 783 N FIRST STREET SAN JOSE, CA 95112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | — |
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 | 280 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 283 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 528 | $3.2M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 529 | $424K |
| Vision | VISION SERVICE PLAN | 197 | $42K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 329 | $93K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 329 | $93K |
| Prescription drug | SUTTER HEALTH PLAN | 31 | $173K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 329 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 529 | — |
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.