| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING & INS SVCS | 2277 FAIR OAKS BOULEVARD, SUITE 250 SACRAMENTO, CA 95825 | BLUE SHIELD OF CALIFORNIA | $113K | $64 | $114K | 4.19% |
| ALLIANT INSURANCE SERVICES, INC.3 | 9 RIVER PARK PLACE EAST, SUITE 310 FRESNO, CA 93720 | BLUE SHIELD OF CALIFORNIA | $22K | — | $22K | 0.81% |
| AON CONSULTING INC3 Filed as: AON CONSULTING & INSURANCE SERVICES | 75 REMITTANCE DRIVE, DEPT 1446 CHICAGO, IL 606751446 | PRINCIPAL LIFE INSURANCE COMPANY | $19K | — | $19K | 3.62% |
| ALLIANT INSURANCE SERVICES, INC.3 | 970 RESERVE DRIVE, SUITE 200 ROSEVILLE, CA 95678 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 0.28% |
| AON CONSULTING INC3 Filed as: AON CONSULTING, INC. | 29840 NETWORK PLACE CHICAGO, IL 606731298 | KAISER FOUNDATION HEALTH PLAN INC. | $20K | — | $20K | 3.76% |
| ALLIANT INSURANCE SERVICES, INC.3 | 970 RESERVE DRIVE, SUITE 200 ROSEVILLE, CA 95678 | KAISER FOUNDATION HEALTH PLAN INC. | $4K | — | $4K | 0.81% |
| AON CONSULTING INC3 Filed as: AON RISK INSURANCE SERVICES WEST | 2277 FAIR OAKS BOULEVARD, SUITE 250 SACRAMENTO, CA 95825 | NATIONAL UNION FIRE INS. CO. OF PITTSBURGH, PA | $188 | — | $188 | 15.03% |
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 | 270 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 276 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 209 | $3.2M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 270 | $531K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 270 | $531K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 270 | $531K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 270 | $531K |
| Prescription drug(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 209 | $3.2M |
| Other(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 270 | $532K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 270 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.