| 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 | $15K | — | $15K | 0.05% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICE, INC. | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN, INC. | $5K | — | $5K | 0.02% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $10K | — | $10K | 0.04% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $3K | — | $3K | 0.02% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $0 | — | $0 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $246 | — | $246 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $3K | — | $3K | 0.05% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $4K | — | $4K | 0.08% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES, INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $3K | — | $3K | 0.08% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.07% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $1K | — | $1K | 0.05% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $984 | — | $984 | 0.05% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $1K | — | $1K | 0.08% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $1K | — | $1K | 0.07% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC. | $1K | — | $1K | 0.07% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $851 | — | $851 | 0.07% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $752 | — | $752 | 0.06% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $1K | — | $1K | 0.10% |
| DUBLIN INSURANCE SERVICES, INC. Filed as: DUBLIN INSURANCE SERVICES INC | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | BLUE SHIELD OF CALIFORNIA | — | — | $0 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $489 | — | $489 | 0.06% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $0 | — | $0 | 0.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $55K | — | $55K | 11.11% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $291 | — | $291 | 0.06% |
| DUBLIN INSURANCE SERVICES, INC. | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC | $220 | — | $220 | 0.05% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC | $234 | — | $234 | 0.06% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $201 | — | $201 | 0.06% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | ACE AMERICAN INS CO | $46K | — | $46K | 15.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $223 | — | $223 | 0.09% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $194 | — | $194 | 0.09% |
| 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 PLAN INC | $593 | — | $593 | 0.42% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | UNITEDHEALTHCARE INSURANCE COMPANY | $7K | — | $7K | 7.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $62 | — | $62 | 0.06% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 3.00% |
| DUBLIN INSURANCE SERVICES, INC. | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS, INC. | $13 | — | $13 | 0.02% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | $2K | — | $2K | 3.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS INC | $36 | — | $36 | 0.06% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | KAISER FOUNDATION HEALTH PLANS,INC. | $30 | — | $30 | 0.08% |
| DUBLIN INSURANCE SERVICES, INC.3 | PO BOX 9026 PLEASANTON, CA 94566 | DELTA DENTAL OF CALIFORNIA | $1K | — | $1K | 3.00% |
| DUBLIN INSURANCE SERVICES, INC.3 | 6200 VILLAGE PKWY STE 201 DUBLIN, CA 94568 | UNITEDHEALTHCARE INSURANCE COMPANY | $2K | — | $2K | 6.00% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY S BLDG II STE 600 AUSTIN, TX 78746 | RELIANCE STANDARD LIFE INSURANCE CO | — | $343 | $343 | 1.20% |
| DUBLIN INSURANCE SERVICES, INC. Filed as: DUBLIN INSURANCE SERVICES | PO BOX 9026 PLEASANTON, CA 94566 | VISION SERVICE PLAN | $918 | — | $918 | 5.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DUBLIN INSURANCE SERVICES, INC. EIN 94-3204324 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $2.6M |
| AABCO PRINTING NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 1300 GALAXY WAY STE 200 CONCORD, CA 94520 | $172K |
| REFINED TECHNOLOGIES, INC. EIN 77-0482870 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $61K |
| 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 | — | $60K |
| 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 | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 245 KENNETH DR ROCHESTER, NY 14623 | $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 | 25,836 | 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) | 25,836 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(40 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLANS, INC | 3,636 | $167.4M |
| Dental(15 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 5,897 | $14.4M |
| Life insurance(2 contracts, 2 carriers) | ACE AMERICAN INS CO | 1,818 | $334K |
| Prescription drug(2 contracts, 2 carriers) | SUTTER HEALTH PLAN | 279 | $3.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,897 | — |
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.