| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 2270 DOUGLAS BOULEVARD SUITE 220 ROSEVILLE, CA 95661 | KAISER FOUNDATION HEALTH PLAN INC | $83K | — | $83K | 4.59% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 4TH FLOOR BOSTON, MA 02110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $11K | — | $11K | 10.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $9K | $9K | 8.43% |
| STRATEGIC NON-MEDICAL SOLUTION3 | ONE BEACON STREET SUITE 17100 BOSTON, MA 02108 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 10.00% |
| RSC INSURANCE BROKERAGE INC3 | 1400 ROCKY RIDGE DRIVE SUITE 280 ROSEVILLE, CA 95661 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 10.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 1787 SENTY PKWY W SUITE 300, VEVA 16 BLUE BELL, PA 19422 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 2.50% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 4TH FLOOR BOSTON, MA 02110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 10.00% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $5K | $5K | 8.27% |
| RSC INSURANCE BROKERAGE INC3 Filed as: RSC INSURANCE BROKERAGE, INC. | 160 FEDERAL STREET 4TH FLOOR BOSTON, MA 02110 | VISION SERVICE PLAN | $2K | — | $2K | 4.04% |
| RICHARD B MILLANG INS SVCS INC3 | 9949 VILLA GRANITO LANE GRANITE BAY, CA 95746 | AFLAC | $3K | $53 | $3K | 7.48% |
| AMY E COHEN3 Filed as: AMY A PURVIS | 1058 FOXCHASE DRIVE APARTMENT 369 SAN JOSE, CA 95123 | AFLAC | $589 | — | $589 | 1.63% |
| DERREK LYN KECK3 | 18080 DAMIAN WAY SALINAS, CA 93907 | AFLAC | $374 | — | $374 | 1.03% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL D EADE | 25390 TELARANA WAY CARMEL, CA 93923 | AFLAC | $192 | — | $192 | 0.53% |
| CHRIS C NESTER3 | 1610 PARK TRAIL DRIVE HOLLISTER, CA 95023 | AFLAC | $165 | — | $165 | 0.46% |
| ROSARIO RONQUILLO3 | 108 BALBACH STREET APARTMENT 1 SAN JOSE, CA 95110 | AFLAC | $116 | $3 | $119 | 0.33% |
| ERNESTO T GONZALEZ3 | 10653 WEST LEILANI DRIVE BOISE, ID 83709 | AFLAC | $105 | — | $105 | 0.29% |
| D BREDESON INSURANCE SERVICES INC3 | 19043 META ROAD CORNELIUS, NC 28031 | AFLAC | $47 | — | $47 | 0.13% |
| WILLIAM V SCHAUB3 Filed as: WILLIAM SCHAUB | 81 VINTAGE CIRCLE UNIT 3247 PLEASANTON, CA 94566 | AFLAC | $44 | — | $44 | 0.12% |
| JOSEPH LEONARD HERRERA3 | 2725 AVENIDA CORAZON SOUTHEAST RIO RANCHO, NM 87124 | AFLAC | $42 | — | $42 | 0.12% |
| BARBARA AMY PHILLIPS3 | 340 TELOMA DRIVE VENTURA, CA 93003 | AFLAC | $41 | — | $41 | 0.11% |
| FALCE BENEFITS GROUP INC.3 Filed as: FALCE BENEFITS GROUP INC | 191 CYPRESS LANE WATSONVILLE, CA 95076 | AFLAC | $34 | — | $34 | 0.09% |
| MARLON JASON HINES3 | 17075 SAINT CECILIA LANE MORGAN HILL, CA 95037 | AFLAC | $26 | $5 | $31 | 0.09% |
| WORKSITE BENEFITS GROUP INC3 Filed as: WORKSITE BENEFITS CONSULTANTS | 10653 WEST LEILANI DRIVE BOISE, ID 83709 | AFLAC | $21 | — | $21 | 0.06% |
| DAN R ELLIS3 | 1698 EAST BRUCE ROAD HAYDEN, ID 83835 | AFLAC | $19 | — | $19 | 0.05% |
| DOUGLAS MARTIN BELSER3 | 26211 INDIANA AVENUE NOVI, MI 48374 | AFLAC | $14 | — | $14 | 0.04% |
| DUANE A ADAMS3 Filed as: DUANE ANDREW FRY | 641 HIGUERA STREET SUITE 300 SAN LUIS OBISPO, CA 93401 | AFLAC | $12 | — | $12 | 0.03% |
| SIERRA N KIRSHY3 | 348 DIAMOND OAKS ROAD ROSEVILLE, CA 95678 | AFLAC | $10 | — | $10 | 0.03% |
| ERIC BROGAN3 Filed as: ERIC E MILLER | 149 MALIBU ROAD MOORESVILLE, NC 28117 | AFLAC | $9 | — | $9 | 0.02% |
| PETER C. FOY & ASSOCIATES3 Filed as: PETER LYMAN SR | 8 SOUTH VOLUNTARIO STREET UNIT A SANTA BARBARA, CA 93103 | AFLAC | $4 | — | $4 | 0.01% |
| SHANE M OWEN3 Filed as: SHANE CRAIG DAVISON | 3013 LARGE HOP LANE ANTIOCH, TN 37013 | AFLAC | $4 | — | $4 | 0.01% |
| CHARLES D. BLOCK3 Filed as: CHARLES B CAREY | 16215 LYLE STREET SAN LEANDRO, CA 94578 | AFLAC | $3 | — | $3 | 0.01% |
| JEANETTE SCHAUB3 | 81 VINTAGE CIRCLE UNIT 3247 PLEASANTON, CA 94566 | AFLAC | $3 | — | $3 | 0.01% |
| REGINA E MARTINELLI3 | 3360 RIVER ROAD WINDSOR, CA 95492 | AFLAC | $2 | — | $2 | 0.01% |
| DENA JORDAN3 Filed as: DENA L JORDAN | 9300 HARRIS CORNERS PARKWAY SUITE 100 CHARLOTTE, NC 28269 | AFLAC | $2 | — | $2 | 0.01% |
| MARIAN A LOPEZ3 | 13322 CITICOURT LANE WHITTIER, CA 90602 | AFLAC | $1 | — | $1 | 0.00% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $1 | — | $1 | 0.00% |
| KAI DEERING3 | 699 BORREGAS AVENUE SUNNYVALE, CA 94085 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $584 | — | $584 | 8.50% |
| JIM M HICKS3 | 4243 AVON COURT SAN JOSE, CA 95136 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $329 | — | $329 | 4.79% |
| RSC INSURANCE BROKERAGE INC3 | 160 FEDERAL STREET 4TH FLOOR BOSTON, MA 02110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $341 | — | $341 | 9.99% |
| ASSUREDPARTNERS3 Filed as: EMERSON ROGERS LLC | 669 RIVER DRIVE CENTER II SUITE 305 ELMWOOD PARK, NJ 07407 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $267 | $267 | 7.82% |
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 | 222 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 224 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 207 | $1.8M |
| Vision | VISION SERVICE PLAN | 215 | $41K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 226 | $108K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 5 | $3K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 224 | $62K |
| Stop-loss / reinsurancereinsurance | QBE A&H, LLC | 90 | $1.1M |
| Other(6 contracts, 6 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 228 | $241K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 228 | — |
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.