| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC. | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | KAISER FOUNDATION HEALTH PLAN INC | $67K | $10 | $67K | 4.18% |
| LINCOLN INSURANCE SERVICES3 | 1660 OLYMPIC BLVD STE 201 WALNUT CREEK, CA 945965127 | KAISER FOUNDATION HEALTH PLAN INC | $13K | — | $13K | 0.83% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, LLC | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 4.15% |
| LINCOLN INSURANCE SERVICES3 | 1660 OLYMPIC BLVD., STE. 201 WALNUT CREEK, CA 94596 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 0.85% |
| LINCOLN INSURANCE SERVICES3 | 1660 OLYMPIC BLVD., #201 WALNUT CREEK, CA 94596 | CHINESE COMMUNITY HEALTH PLAN | $4K | — | $4K | 5.00% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, INC | 200 GALLERIA PKWY SE STE 1950 ATLANTA, GA 303395946 | VISION SERVICE PLAN | $875 | — | $875 | 3.16% |
| LINCOLN INSURANCE SERVICES3 | 1660 OLYMPIC BLVD STE 201 WALNUT CREEK, CA 945965127 | VISION SERVICE PLAN | $462 | — | $462 | 1.67% |
| ENROLLEASE3 Filed as: DIGITAL INSURANCE LIC | 1660 OLYMPIC BLVD STE 201 WALNUT CREEK, CA 94596 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $16 | $2K | 6.64% |
| TYLER JAMES JOHNSON3 | 109 ROBLE RD #203 WALNUT CREEK, CA 94597 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $950 | $510 | $1K | 5.92% |
| DENISIA SILVA3 | 151 CALDERON AVE MOUNTAIN VIEW, CA 94041 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $671 | — | $671 | 2.72% |
| JOHN T HARRIS3 Filed as: JOHN HARRIS | 1030 BRISTOW ST MANTECA, CA 95336 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $440 | — | $440 | 1.78% |
| RYAN BEHM3 | 1042 COUNTRY CLUB DRIVE, 2D MORAGA, CA 94556 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $396 | $7 | $403 | 1.63% |
| LINCOLN INSURANCE SERVICES3 | 1660 OLYMPIC BLVD STE 201 WALNUT CREEK, CA 94596 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $403 | — | $403 | 1.63% |
| MARY KOCH3 | 1012 EMMA ROSE BLVD BRENTWOOD, CA 94513 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $367 | — | $367 | 1.49% |
| JIREH KNOTT3 | 555 YGNACIO VALLEY ROAD WALNUT CREEK, CA 94596 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $137 | $61 | $198 | 0.80% |
| ERRON RICHARD JACOBS3 | 1401 WILLOW PASS RD #800 CONCORD, CA 94520 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 0.15% |
| ROSALIA MERCADO MALLARI3 | 5311 GUERRERO COURT DUBLIN, CA 94568 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 0.15% |
| CHRISTINA MARIE ALTOMARE3 | 1692 CRESCENT DRIVE WALNUT CREEK, CA 94598 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $17 | $5 | $22 | 0.09% |
| JULIA JOANNA PUJOLS3 | 10720 WALLACE LN DUBLIN, CA 94568 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15 | — | $15 | 0.06% |
| CATHERINE LISA LUKE3 | 4787 W HACIENDA AVE CAMPBELL, CA 95008 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.01% |
| DIGITAL INSURANCE LLC3 Filed as: DIGITAL INSURANCE, LLC | 200 GALLERIA PARKWAY STE 1950 ATLANTA, GA 30339 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $353 | — | $353 | 5.85% |
| LINCOLN INSURANCE SERVICES3 | 1660 OLYMPIC BLVD., STE. 201 WALNUT CREEK, CA 94596 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $69 | — | $69 | 1.14% |
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 | 214 | 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) | 214 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 199 | $1.7M |
| Dental | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 235 | $148K |
| Vision | VISION SERVICE PLAN | 240 | $28K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 233 | $31K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 22 | $25K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 233 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 240 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.