| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BREAUX BENEFITS GROUP, LLC3 | 41 FLICKER DRIVE NOVATO, CA 94949 | KAISER FOUNDATION HEALTH PLAN INC | $17K | $0 | $17K | 1.91% |
| MOC INSURANCE SERVICES3 | 101 MONTGOMERY STREET, SUITE 800 SAN FRANCISCO, CA 94104 | KAISER FOUNDATION HEALTH PLAN INC | $16K | $0 | $16K | 1.89% |
| BREAUX BENEFITS GROUP, LLC3 | PO BOX 1455 BODEGA BAY, CA 94923 | SUTTER HEALTH PLAN | $10K | $0 | $10K | 2.60% |
| MOC INSURANCE SERVICES3 | 101 MONTGOMERY STREET, SUITE 800 SAN FRANCISCO, CA 94104 | SUTTER HEALTH PLAN | $9K | $0 | $9K | 2.40% |
| BREAUX BENEFITS GROUP, LLC3 Filed as: BREAUX BENEFITS GROUP LLC | PO BOX 1455 BODEGA BAY, CA 94923 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.09% |
| MOC INSURANCE SERVICES3 | 101 MONTGOMERY STREET, SUITE 800 SAN FRANCISCO, CA 94104 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $617 | $0 | $617 | 0.80% |
| BREAUX BENEFITS GROUP, LLC3 Filed as: BREAUX BENEFITS GROUP | PO BOX 1455 BODEGA BAY, CA 94923 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | $0 | $3K | 5.14% |
| MOC INSURANCE SERVICES3 | 101 MONTGOMERY STREET, SUITE 800 SAN FRANCISCO, CA 94104 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.86% |
| BREAUX BENEFITS GROUP, LLC3 | PO BOX 1455 BODEGA BAY, CA 94923 | LIBERTY DENTAL PLAN OF CALIFORNIA, INC | $700 | $0 | $700 | 5.64% |
| BREAUX BENEFITS GROUP, LLC3 | PO BOX 1455 BODEGA BAY, CA 94923 | VISION SERVICE PLAN | $434 | $0 | $434 | 4.65% |
| MOC INSURANCE SERVICES3 | 3333 QUALITY DRIVE RANCHO CORDOVA, CA 95670 | VISION SERVICE PLAN | $284 | $0 | $284 | 3.05% |
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 | 156 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 96 | $1.3M |
| Dental(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 95 | $90K |
| Vision | VISION SERVICE PLAN | 125 | $9K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 156 | $49K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 156 | $49K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 96 | $1.3M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 156 | $49K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 156 | — |
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.