| 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 | $189K | — | $189K | 0.58% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $129K | — | $129K | 0.59% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $13K | — | $13K | 0.09% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICE, INC. | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN, INC. | $49K | — | $49K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $39K | — | $39K | 0.51% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $36K | — | $36K | 0.51% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $40K | — | $40K | 0.57% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES, INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $6K | — | $6K | 0.09% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $33K | — | $33K | 0.58% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN INC | $20K | — | $20K | 0.37% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $18K | — | $18K | 0.58% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $15K | — | $15K | 0.58% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $15K | — | $15K | 0.59% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $13K | — | $13K | 0.58% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $13K | — | $13K | 0.57% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $12K | — | $12K | 0.61% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $12K | — | $12K | 0.58% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $7K | — | $7K | 0.59% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | — | — | $0 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $3K | — | $3K | 0.57% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $3K | — | $3K | 0.54% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY #201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN, INC | $2K | — | $2K | 0.52% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC | $3K | — | $3K | 0.57% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $3K | — | $3K | 0.61% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $57K | — | $57K | 12.91% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $2K | — | $2K | 0.56% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $2K | — | $2K | 0.58% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | FIDELITY SECURITY LIFE | $21K | — | $21K | 7.50% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN INC | $1K | — | $1K | 0.57% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $25K | — | $25K | 12.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $845 | — | $845 | 0.57% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | — | — | $0 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC. | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $197 | — | $197 | 0.22% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $460 | — | $460 | 0.60% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS,INC. | $388 | — | $388 | 0.58% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | — | — | $0 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | — | — | $0 | 0.00% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY S BLDG II STE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE CO | — | $455 | $455 | 1.70% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | UNITEDHEALTHCARE INSURANCE COMPANY | — | — | $0 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC. Filed as: DUBLIN INSURANCE SERVICES | PO BOX 9026 PLEASANTON, CA 945669026 | VISION SERVICE PLAN | $886 | — | $886 | 6.00% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY S BLDG II STE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE CO | — | $46 | $46 | 1.72% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $25K | — | $25K | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DUBLIN INSURANCE SERVICES, INC. EIN 94-3204324 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $2.5M |
| AABCO PRINTING NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 1300 GALAXY WAY STE 200 CONCORD, CA 94520 | $148K |
| REFINED TECHNOLOGIES, INC EIN 77-0482870 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $63K |
| KEMPER SYSTEMS, INC EIN 90-0189128 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $60K |
| WEINBERG, ROGER & ROSENFELD EIN 94-3019439 NONE | Legal; Direct payment from the plan Service code 29 | — | $55K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $33K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $29K |
| BRI COBRA, INC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 245 KENNETH DR ROCHESTER, NY 14623 | $20K |
| KRAW & KRAW NONE | Legal; Direct payment from the plan Service code 29 | 605 ELLIS ST STE 200 MOUNTAIN VIEW, CA 94043 | $12K |
| CORODATA NONE | Other services; Direct payment from the plan Service code 49 | 2621 RESEARCH DR CORONA, CA 92882 | $11K |
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 | 25,101 | 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) | 25,101 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(39 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLANS, INC | 4,162 | $143.0M |
| Dental(13 contracts) | DELTA DENTAL OF CALIFORNIA | 5,889 | $13.4M |
| Life insurance(2 contracts, 2 carriers) | FIDELITY SECURITY LIFE | 1,806 | $311K |
| Prescription drug(2 contracts, 2 carriers) | SUTTER HEALTH PLAN | 277 | $2.8M |
| Other | RELIANCE STANDARD LIFE INSURANCE CO | 1,043 | $3K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,889 | — |
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.