| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, INC | 2121 NORTH CALIFORNIA BOULEVARD SUITE 100 WALNUT CREEK, CA 94596 | AETNA LIFE INSURANCE COMPANY | $215K | $9K | $224K | 5.66% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | KAISER FOUNDATION HEALTH PLAN, INC. | $134K | $0 | $134K | 4.98% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | PRUDENTIAL LIFE INSURANCE COMPANY | $35K | $0 | $35K | 5.93% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL LIFE INSURANCE COMPANY | $0 | $151 | $151 | 0.03% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES, INC, | 425 NE HANCOCK STREET, 2ND FLOOR PORTLAND, OR 97212 | PRINCIPAL LIFE INSURANCE COMPANY | $23K | $5K | $27K | 6.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | PO BOX 8299 PASSADENA, CA 91109 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | $0 | $14K | 11.81% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES, INC. | 2300 CONTRA COSTA BOULEVARD SUITE 600 PLEASANT HILL, CA 94523 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $0 | $3K | 2.94% |
| D A FINANCIAL INSURANCE SERVICES3 | 3470 MOUNT DIABLO BOULEVARD SUITE A100 LAFAYETTE, CA 94549 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $60 | $0 | $60 | 0.05% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $16 | $0 | $16 | 0.01% |
| ALLIANT INSURANCE SERVICES, INC.3 | 353 NORTH CLARK STREET CHICAGO, IL 60654 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $6K | $0 | $6K | 9.18% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 777 108TH AVENUE NE, SUITE 200 BELLEVUE, WA 98004 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | -$4K | $0 | -$4K | -6.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $9 | $0 | $9 | 0.66% |
| D A FINANCIAL INSURANCE SERVICES3 | 3470 MOUNT DIABLO BOULEVARD SUITE A100 LAFAYETTE, CA 94549 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $8 | $0 | $8 | 0.59% |
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 | 846 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 112 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 959 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | AETNA LIFE INSURANCE COMPANY | 446 | $9.1M |
| Dental(3 contracts, 3 carriers) | HAWAII MEDICAL SERVICE ASSOCIATION | 874 | $2.2M |
| Vision | HAWAII MEDICAL SERVICE ASSOCIATION | 211 | $1.8M |
| Life insurance | PRUDENTIAL LIFE INSURANCE COMPANY | 956 | $592K |
| Short-term disability | PRUDENTIAL LIFE INSURANCE COMPANY | 956 | $592K |
| Long-term disability | PRUDENTIAL LIFE INSURANCE COMPANY | 956 | $592K |
| Prescription drug(5 contracts, 5 carriers) | AETNA LIFE INSURANCE COMPANY | 446 | $9.1M |
| Other(4 contracts, 4 carriers) | PRUDENTIAL LIFE INSURANCE COMPANY | 956 | $725K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 956 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.