| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC | $153K | — | $153K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $105K | — | $105K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $37K | — | $37K | 0.38% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES, INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $161 | — | $161 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $29K | — | $29K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $24K | — | $24K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $23K | — | $23K | 0.48% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $22K | — | $22K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICE, INC. | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN, INC. | $21K | — | $21K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $15K | — | $15K | 0.49% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $14K | — | $14K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $13K | — | $13K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $11K | — | $11K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $11K | — | $11K | 0.49% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN INC | $9K | — | $9K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $6K | — | $6K | 0.44% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $6K | — | $6K | 0.51% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $6K | — | $6K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $5K | — | $5K | 0.51% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $3K | — | $3K | 0.56% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $53K | — | $53K | 12.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $2K | — | $2K | 0.50% |
| DUBLIN INSURANCE SERVICES, INC. | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $180 | — | $180 | 0.05% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $2K | — | $2K | 0.51% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | FIDELITY SECURITY LIFE | $26K | — | $26K | 7.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $2K | — | $2K | 0.51% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $1K | — | $1K | 0.50% |
| MGU OF THE WEST INS SVCS INC3 | 9245 LAGUNA SPRINGS DR STE 320 ELK GROVE, CA 95758 | SYMETRA LIFE INSURANCE COMPANY | $18K | $17K | $36K | 12.60% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | SYMETRA LIFE INSURANCE COMPANY | $10K | — | $10K | 3.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN INC | $1K | — | $1K | 0.49% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $26K | — | $26K | 12.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $635 | — | $635 | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 3.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $444 | — | $444 | 0.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $6K | — | $6K | 7.00% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | $2K | — | $2K | 2.98% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS,INC. | $260 | — | $260 | 0.48% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | $1K | — | $1K | 3.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | RELIANCE STANDARD LIFE INSURANCE CO | $3K | — | $3K | 10.04% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY S BLDG II STE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE CO | — | $340 | $340 | 1.10% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | RELIANCE STANDARD LIFE INSURANCE CO | $310 | — | $310 | 10.01% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY S BLDG II STE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE CO | — | $34 | $34 | 1.10% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DUBLIN INSURANCE SERVICES, INC. EIN 94-3204324 NONE | Plan Administrator Service code 14 | — | $2.5M |
| REFINED TECHNOLOGIES, INC. EIN 77-0482870 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $71K |
| KEMPER SYSTEMS, INC. EIN 90-0189128 NONE | Accounting (including auditing) Service code 10 | — | $60K |
| WEINBERG, ROGER & ROSENFELD EIN 94-3019439 NONE | Legal Service code 29 | — | $60K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general) Service code 16 | — | $32K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing) Service code 10 | — | $26K |
| KNOWLEDGE-BASED QUALITY CONSULTING EIN 26-0673566 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $22K |
| BRI COBRA, LLC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 245 KENNETH DRIVE ROCHESTER, NY 14623 | $10K |
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 | 23,922 | 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. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 23,922 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(36 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLANS, INC | 3,654 | $123.3M |
| Dental(13 contracts) | DELTA DENTAL OF CALIFORNIA | 6,616 | $15.8M |
| Life insurance(2 contracts, 2 carriers) | FIDELITY SECURITY LIFE | 1,718 | $375K |
| Prescription drug | SUTTER HEALTH PLAN | 237 | $1.3M |
| Other | RELIANCE STANDARD LIFE INSURANCE CO | 800 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,616 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.