| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| VANTREO INSURANCE BROKERAGE3 | 100 STONY POINT ROAD, SUITE 160 SANTA ROSA, CA 95401 | KAISER FOUNDATION HEALTH PLAN INC | $7K | — | $7K | 1.95% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN STREET, 21ST FLOOR SAN FRANCISCO, CA 94105 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.60% |
| VANTREO INSURANCE BROKERAGE3 | 100 STONY POINT ROAD, SUITE 160 SANTA ROSA, CA 95401 | SUTTER HEALTH PLAN | $4K | — | $4K | 2.84% |
| VANTEO INSURANCE BROKERAGE3 | 100 STONY POINT ROAD, SUITE 160 SANTA ROSA, CA 95401 | PREMIER ACCESS INSURANCE COMPANY | $555 | — | $555 | 1.47% |
| INTERWEST INSURANCE SERVICES, LLC3 | PO BOX 255188 SACRAMENTO, CA 95401 | PREMIER ACCESS INSURANCE COMPANY | $203 | — | $203 | 0.54% |
| INTERWEST INSURANCE SERVICES, LLC3 | 3636 AMERICAN RIVER DRIVE SACRAMENTO, CA 95864 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 6.76% |
| VANTREO INSURANCE BROKERAGE3 | 100 STONY POINT ROAD, SUITE 160 SANTA ROSA, CA 95401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $498 | — | $498 | 3.24% |
| VANTREO INSURANCE BROKERAGE3 | 100 STONY POINT ROAD, SUITE 160 SANTA ROSA, CA 95401 | AMERITAS LIFE INSURANCE CORP. | $262 | $20 | $282 | 5.80% |
| INTERWEST INSURANCE SERVICES, LLC3 | 8590 CAL CENTER DRIVE, BUILDING 3 SACRAMENTO, CA 95826 | AMERITAS LIFE INSURANCE CORP. | $224 | — | $224 | 4.61% |
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 | 121 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 56 | $483K |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 122 | $38K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 116 | $5K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $15K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 56 | $483K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 122 | — |
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.