| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RIS EMPLOYEE BENEFITS INC3 Filed as: RIS EMPLOYEE BENEFITS, INC. | 10011 N. FOOTHILL BLVD., STE 110 CUPERTINO, CA 95014 | KAISER FOUNDATION HEALTH PLANS INC. | $23K | — | $23K | 3.10% |
| RIS EMPLOYEE BENEFITS INC3 Filed as: RIS EMPLOYEE BENEFIT SVCS, INC. | 10011 N. FOOTHILL BLVD., STE 110 CUPERTINO, CA 95014 | CALIFORNIA PHYSICIANS SERVICE | $12K | — | $12K | 3.00% |
| RIS EMPLOYEE BENEFITS INC3 Filed as: RIS EMPLOYEE BENEFITS INC. | 10011 N FOOTHILL BLVD. STE 110 CUPERTINO, CA 95014 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $14K | — | $14K | 9.93% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP NATIONAL ACCOUNT SERVICES INC. | DEPT 2075, P.O. BOX 29675 PHOENIX, AZ 85038 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $7K | $7K | 4.97% |
| RIS EMPLOYEE BENEFITS INC3 Filed as: RIS DBA KLEINBERG BENEFITS INC. INS | 10011 N FOOTHILL BLVD STE 110 CUPERTINO, CA 95014 | BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH INSURANCE COMPANY | $896 | — | $896 | 3.00% |
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 | 128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 128 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLANS INC. | 102 | $1.1M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 115 | $141K |
| Life insurance | BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH INSURANCE COMPANY | 128 | $30K |
| Other | BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH INSURANCE COMPANY | 128 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 128 | — |
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.