| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA STREET, SUITE 2400 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN, INC. | $109K | $0 | $109K | 2.28% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS CORP. | 2125 YGNACIO VALLEY ROAD, SUITE 200 WALNUT CREEK, CA 94598 | KAISER FOUNDATION HEALTH PLAN, INC. | $24K | $0 | $24K | 0.50% |
| EPIC3 | 10877 WHITE ROCK ROAD, SUITE 300 RANCHO CORDOVA, CA 95670 | SUTTER HEALTH PLAN | $49K | $0 | $49K | 2.06% |
| PINNACLE BROKERS3 Filed as: PINNACLE BROKERS INS. SOLUTIONS | 2125 YGNACIO VALLEY ROAD, SUITE 200 WALNUT CREEK, CA 94598 | SUTTER HEALTH PLAN | $22K | $0 | $22K | 0.94% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 10877 WHITE ROCK ROAD, SUITE 300 RANCHO CORDOVA, CA 95670 | WESTERN HEALTH ADVANTAGE | $25K | — | $25K | 1.80% |
| PINNACLE BROKERS3 Filed as: PINNACLE BROKERS INS. SOLUTIONS LLC | 2125 YGNACIO VALLEY ROAD, SUITE 200 WALNUT CREEK, CA 94598 | WESTERN HEALTH ADVANTAGE | $11K | $0 | $11K | 0.79% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, SUITE 800 CONCORD, CA 94520 | WESTERN HEALTH ADVANTAGE | $4K | — | $4K | 0.30% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 425 CALIFORNIA STREET, SUITE 2400 SAN FRANCISCO, CA 94104 | DELTA DENTAL OF CALIFORNIA | $34K | $0 | $34K | 6.87% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS CORP. | 2125 YGNACIO VALLEY ROAD, SUITE 200 WALNUT CREEK, CA 94598 | DELTA DENTAL OF CALIFORNIA | $16K | $0 | $16K | 3.13% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 5668 CONCORD, CA 94524 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $41K | $0 | $41K | 11.13% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS CORP. | 2125 YGNACIO VALLEY ROAD, SUITE 200 WALNUT CREEK, CA 94598 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $14K | $0 | $14K | 3.86% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS ROAD, SUITE 800 CONCORD, CA 94520 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $5K | $5K | 1.44% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | PO BOX 102159 PASADENA, CA 91189 | VISION SERVICE PLAN | $3K | — | $3K | 1.99% |
| FOUNDATION RISK PARTNERS CORP3 Filed as: FOUNDATION RISK PARTNERS CORP. | 2125 YGNACIO VALLEY ROAD, SUITE 200 WALNUT CREEK, CA 94598 | VISION SERVICE PLAN | $2K | $0 | $2K | 1.28% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 144 GOULD STREET, SUITE 200 NEDHAM, MA 02494 | FIDELITY SECURITY LIFE | $10K | — | $10K | 15.00% |
| CHIMIENTI & ASSOCIATES3 Filed as: CHIMIENTI & ASSOCIATES INSURANCE | 3130 WEST MAIN STREET, SUITE 106 VISALIA, CA 93292 | FIDELITY SECURITY LIFE | $5K | — | $5K | 8.00% |
| RICK R. CLARY3 | 4519 SOUTH OCEAN BOULEVARD HIGHLAND BEACH, FL 33487 | FIDELITY SECURITY LIFE | $682 | $0 | $682 | 1.00% |
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 | 852 | 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) | 852 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 560 | $8.6M |
| Dental | DELTA DENTAL OF CALIFORNIA | 795 | $502K |
| Vision | VISION SERVICE PLAN | 532 | $129K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 854 | $370K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 854 | $370K |
| Prescription drug(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 560 | $8.6M |
| Other | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 854 | $370K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 854 | — |
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.