| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA STREET SAN FRANCISCO, CA 94105 | KAISER FOUNDATION HEALTH PLAN INC. | $13K | $379 | $13K | 1.62% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $12K | — | $12K | 1.43% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 10877 WHITE ROCK ROAD RANCHO CORDOVA, CA 95670 | WESTERN HEALTH ADVANTAGE | $4K | — | $4K | 1.52% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | WESTERN HEALTH ADVANTAGE | $4K | — | $4K | 1.48% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O. BOX 5668 CONCORD, CA 94524 | STANDARD INSURANCE COMPANY | $8K | — | $8K | 5.11% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | STANDARD INSURANCE COMPANY | $7K | — | $7K | 4.89% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 8.62% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN STREET, 21ST FLOOR SAN FRANCISCO, CA 94105 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 6.34% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 S. GRAND AVENUE LOS ANGELES, CA 90017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 5.42% |
| FILICE INSURANCE AGENCY3 | 1150 MORAGA WAY SAN JOSE, CA 95112 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $958 | — | $958 | 4.58% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 S. GRAND AVENUE LOS ANGELES, CA 90017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 7.97% |
| FILICE INSURANCE AGENCY3 | 1150 MORAGA WAY MORAGA, CA 94556 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 7.03% |
| FILICE INSURANCE AGENCY3 | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | VISION SERVICE PLAN | $637 | — | $637 | 4.96% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | P.O.BOX 102159 PASADENA, CA 91189 | VISION SERVICE PLAN | $458 | — | $458 | 3.57% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 S. GRAND AVENUE LOS ANGELES, CA 90017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $625 | — | $625 | 5.41% |
| FILICE INSURANCE AGENCY3 | 1150 MORAGA WAY MORAGA, CA 94556 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $530 | — | $530 | 4.59% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 350 S. GRAND AVENUE LOS ANGELES, CA 90017 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $283 | — | $283 | 5.41% |
| FILICE INSURANCE AGENCY3 | 1150 MORAGA WAY MORAGA, CA 94556 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $240 | — | $240 | 4.59% |
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 | 126 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 127 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 138 | $1.1M |
| Dental | STANDARD INSURANCE COMPANY | 98 | $152K |
| Vision | VISION SERVICE PLAN | 2 | $13K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 126 | $36K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 126 | $12K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 138 | $1.1M |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 126 | $47K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 138 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.