| 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 | $24K | — | $24K | 2.67% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SVCS LLC | MICHELLE R MONTOYA 736 N FIRST STREET #202 SAN JOSE, CA 95112 | CALIFORNIA CHOICE | $4K | — | $4K | 5.00% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE | 738 N 1ST STREET #202 SAN JOSE, CA 95112 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $8K | — | $8K | 10.00% |
| FILICE INSURANCE AGENCY0 Filed as: FILICE INSURANCE SERVICES LLC | 738 N 1ST ST STE 202 SAN JOSE, CA 95112 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 6.96% |
| ENROLLEASE3 Filed as: ENROLLEASE INC | 500 TREAT AVE STE 200 SAN FRANCISCO, CA 94110 | METROPOLITAN LIFE INSURANCE COMPANY | — | $410 | $410 | 2.18% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC. | 738 N 1ST ST STE 202 SAN JOSE, CA 95112 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $919 | — | $919 | 10.00% |
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 | 101 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 88 | $998K |
| Dental | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 122 | $77K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 56 | $9K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 113 | $19K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 88 | $910K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 113 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 122 | — |
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.