| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN, INC. | $42K | — | $42K | 4.55% |
| KILTY RISK & INSURANCE SRVCS, INC3 | 12657 ALCOSTA BLVD., SUITE 175 SAN RAMON, CA 94583 | KAISER FOUNDATION HEALTH PLAN, INC. | $8K | — | $8K | 0.90% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N. FIRST ST., SUITE 202 SAN JOSE, CA 95112 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $2K | $10K | 9.77% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GRP., INC | 5110 N 40TH ST., #234 PHOENIX, AZ 85018 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $81 | $3K | 2.67% |
| KILTY RISK & INSURANCE SRVCS, INC3 | 12657 ALCOSTA BLVD, SUITE 175 SAN RAMON, CA 94583 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 2.48% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N. FIRST ST., SUITE 202 SAN JOSE, CO 95112 | TRUSTMARK LIFE INSURANCE COMPANY | $7K | — | $7K | 12.03% |
| KILTY RISK & INSURANCE SRVCS, INC3 Filed as: KILTY RISK & INS SERVICES, INC | 12657 ALCOSTA BLVD., SUITE 175 SAN RAMON, CA 94583 | TRUSTMARK LIFE INSURANCE COMPANY | $2K | — | $2K | 3.97% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N. FIRST ST., SUITE 202 SAN JOSE, CA 95112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $503 | $2K | 14.64% |
| KILTY RISK & INSURANCE SRVCS, INC3 | 12657 ALCOSTA BLVD., SUITE 175 SAN RAMON, CA 94583 | UNITED OF OMAHA LIFE INSURANCE COMPANY | -$564 | — | -$564 | -3.37% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N. FIRST ST., SUITE 220 SAN JOSE, CA 95112 | VISION SERVICE PLAN | $1K | — | $1K | 7.46% |
| KILTY RISK & INSURANCE SRVCS, INC3 | 12657 ALCOSTA BLVD., SUITE 175 SAN RAMON, CA 94583 | VISION SERVICE PLAN | $420 | — | $420 | 2.54% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 12.86% |
| KILTY RISK & INSURANCE SRVCS, INC3 | 12657 ALCOSTA BLVD., SUITE 175 SAN RAMON, CA 94583 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $309 | — | $309 | 2.19% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $788 | $486 | $1K | 12.02% |
| KILTY RISK & INSURANCE SRVCS, INC3 | 12657 ALCOSTA BLVD., SUITE 175 SAN RAMON, CA 94583 | UNITED OF OMAHA LIFE INSURANCE COMPANY | -$272 | — | -$272 | -2.57% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 13.32% |
| KILTY RISK & INSURANCE SRVCS, INC3 | 12657 ALCOSTA BLVD., SUITE 175 SAN RAMON, CA 94583 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $203 | — | $203 | 2.57% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 N. FIRST ST., SUITE 202 SAN JOSE, CO 95112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $650 | $2K | — |
| KILTY RISK & INSURANCE SRVCS, INC3 | 12657 ALCOSTA BLVD., SUITE 175 SAN RAMON, CA 94583 | UNITED OF OMAHA LIFE INSURANCE COMPANY | -$537 | — | -$537 | — |
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 | 139 | 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) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 126 | $978K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 230 | $99K |
| Vision | VISION SERVICE PLAN | 127 | $17K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 139 | $11K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 0 | $0 |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 126 | $978K |
| Stop-loss / reinsurancereinsurance | TRUSTMARK LIFE INSURANCE COMPANY | 12 | $59K |
| Other(4 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 139 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 230 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.