| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE | 1150 MORAGA WAY MORAGA, CA 94556 | SUTTER HEALTH PLAN | $26K | — | $26K | 3.50% |
| WELLSON CHEUNG3 | 1668 EL CAMINO REAL SAN CARLOS, CA 94070 | SUTTER HEALTH PLAN | $11K | — | $11K | 1.50% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | CHINESE COMMUNITY HEALTH PLAN | $19K | — | $19K | 3.50% |
| WELCARE FINANCIAL GROUP3 | 1668 EL CAMINO REAL SAN CARLOS, CA 94070 | CHINESE COMMUNITY HEALTH PLAN | $8K | — | $8K | 1.50% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | GUARDIAN | $3K | $5K | $8K | 5.59% |
| WELLSON CHEUNG3 | 14 DOCKSIDE CIRCLE REDWOOD CITY, CA 94065 | GUARDIAN | $1K | — | $1K | 0.85% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE | 738 N. FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $4K | $34 | $4K | 3.65% |
| WELLSON CHEUNG3 | 1668 EL CAMINO REAL SAN CARLOS, CA 94070 | KAISER FOUNDATION HEALTH PLAN INC. | $2K | — | $2K | 1.55% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE | 1150 MORAGA WAY MORAGA, CA 94556 | CLAREMONT EAP | $151 | — | $151 | 5.49% |
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 | 195 | 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) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | SUTTER HEALTH PLAN | 99 | $1.4M |
| Dental | GUARDIAN | 196 | $148K |
| Prescription drug(3 contracts, 3 carriers) | SUTTER HEALTH PLAN | 99 | $1.4M |
| Other | CLAREMONT EAP | 103 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.