| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FILICE INSURANCE AGENCY3 | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN, INC | $2K | $0 | $2K | 2.36% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $261 | — | $261 | 10.00% |
| LAZIO CUMMINGS ENTERPRISES, INC3 | 111 WOODMERE ROAD, SUITE 290 FOLSOM, CA 95630 | PREMIER ACCESS INSURANCE COMPANY | $466 | — | $466 | 29.91% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $63 | $13 | $76 | 12.08% |
| FILICE INSURANCE AGENCY3 | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | LANDMARK HEALTHPLAN | $49 | — | $49 | 10.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE SHIELD EIN 95-2156846 NETWORK PROVIDER | Insurance services Service code 23 | — | $4K |
| CAPITOL ADMINISTRATORS EIN 68-0116790 THIRD PARTY ADMINISTRATO | Plan Administrator Service code 14 | — | $4K |
| FILICE INSURANCE AGENCY EIN 77-0261203 INSURANCE BROKER | Insurance agents and brokers Service code 22 | — | $2K |
| PHIA GROUP EIN 46-1439866 FIDUCIARY&APPEALS REVIEW | Other services Service code 49 | — | $150 |
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 | 264 | 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) | 265 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC | 125 | $105K |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 479 | $2K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 231 | $3K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 227 | $629 |
| Stop-loss / reinsurancereinsurance(2 contracts) | WESTPORT INSURANCE CORPORATION | 147 | $33K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 227 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 479 | — |
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.