| 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 | $161K | — | $161K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $117K | — | $117K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $13K | — | $13K | 0.10% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES, INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $166 | — | $166 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $29K | — | $29K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $27K | — | $27K | 0.52% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $25K | — | $25K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN INC | $23K | — | $23K | 0.52% |
| 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 | 0.55% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $15K | — | $15K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $36K | — | $36K | 1.35% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $13K | — | $13K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $12K | — | $12K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $11K | — | $11K | 0.56% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $10K | — | $10K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $7K | — | $7K | 0.53% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $7K | — | $7K | 0.53% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $6K | — | $6K | 0.55% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $3K | — | $3K | 0.55% |
| 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 | 0.54% |
| 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 | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $1K | — | $1K | 0.54% |
| MGU OF THE WEST INS SVCS INC3 | 9245 LAGUNA SPRINGS DR STE 320 ELK GROVE, CA 95758 | SYMETRA LIFE INSURANCE COMPANY | $17K | $16K | $32K | 12.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | SYMETRA LIFE INSURANCE COMPANY | $9K | — | $9K | 3.48% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $27K | — | $27K | 11.07% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $1K | — | $1K | 0.55% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN INC | $1K | — | $1K | 0.56% |
| DUBLIN INSURANCE SERVICES, INC. | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $182 | — | $182 | 0.13% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $725 | — | $725 | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 3.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $6K | — | $6K | 7.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $434 | — | $434 | 0.55% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | $2K | — | $2K | 2.84% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS,INC. | $320 | — | $320 | 0.55% |
| 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 | $4K | — | $4K | 10.00% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY S BLDG II STE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE CO | — | $375 | $375 | 1.03% |
| DUBLIN INSURANCE SERVICES, INC. Filed as: DUBLIN INSURANCE SERVICES | PO BOX 9026 PLEASANTON, CA 945669026 | VISION SERVICE PLAN | $900 | — | $900 | 6.05% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | RELIANCE STANDARD LIFE INSURANCE CO | $365 | — | $365 | 10.00% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY S BLDG II STE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE CO | — | $41 | $41 | 1.12% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $14K | — | $14K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DUBLIN INSURANCE SERVICES, INC. EIN 94-3204324 NONE | Plan Administrator Service code 14 | — | $2.5M |
| AABCO PRINTING NONE | Copying and duplicating Service code 36 | 1300 GALAXY WAY STE 200 CONCORD, CA 94520 | $109K |
| KEMPER SYSTEMS, INC. EIN 90-0189128 NONE | Accounting (including auditing) Service code 10 | — | $63K |
| WEINBERG, ROGER & ROSENFELD EIN 94-3019439 NONE | Legal Service code 29 | — | $60K |
| REFINED TECHNOLOGIES, INC. EIN 77-0482870 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $56K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general) Service code 16 | — | $33K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing) Service code 10 | — | $27K |
| KNOWLEDGE-BASED QUALITY CONSULTING EIN 26-0673566 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $22K |
| CORODATA NONE | Other services Service code 49 | 2621 RESEARCH DR CORONA, CA 92882 | $9K |
| BRI COBRA, LLC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 245 KENNETH DR ROCHESTER, NY 14623 | $9K |
| KRAW & KRAW NONE | Legal Service code 29 | 605 ELLIS ST STE 200 MOUNTAIN VIEW, CA 94043 | $6K |
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 | 23,926 | 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) | 23,926 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(35 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLANS, INC | 3,448 | $120.3M |
| Dental(14 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 7,042 | $16.6M |
| Vision(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 240 | $274K |
| Life insurance(2 contracts, 2 carriers) | FIDELITY SECURITY LIFE | 1,762 | $380K |
| Prescription drug(2 contracts, 2 carriers) | SUTTER HEALTH PLAN | 243 | $2.5M |
| Other(2 contracts, 2 carriers) | SYMETRA LIFE INSURANCE COMPANY | 1,273 | $263K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,042 | — |
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.