| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRETCHEN B. BROSIUS3 Filed as: GRETCHEN BROSIUS | 484 NORTH STREET OAKLAND, CA 946091336 | KAISER FOUNDATION HEALTH PLAN INC. | $96K | — | $96K | 2.44% |
| NONSTOP ADMINISTRATION & INSURANCE3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 945202146 | KAISER FOUNDATION HEALTH PLAN INC. | $22K | — | $22K | 0.57% |
| GRETCHEN B. BROSIUS3 | 484 NORTH STREET OAKLAND, CA 94609 | BLUE CROSS OF CALIFORNIA | $29K | — | $29K | 5.31% |
| NONSTOP ADMIN & INSURANCE SERVICES3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 945202146 | DELTA DENTAL OF CALIFORNIA | $19K | — | $19K | 4.99% |
| GRETCHEN B. BROSIUS3 | 484 NORTH STREET OAKLAND, CA 94609 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 5.39% |
| NONSTOP ADMIN & INSURANCE SERVICES3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 94520 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $318 | — | $318 | 0.23% |
| NONSTOP ADMIN & INSURANCE SERVICES3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 945202514 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 5.15% |
| GRETCHEN B. BROSIUS3 Filed as: GRETCHEN BROSIUS | 484 NORTH STREET OAKLAND, CA 946091336 | VISION SERVICE PLAN | $2K | — | $2K | 3.39% |
| GRETCHEN B. BROSIUS3 | 484 NORTH STREET OAKLAND, CA 94609 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 13.67% |
| NONSTOP ADMIN & INSURANCE SERVICES3 | 2300 CLAYTON ROAD, #1450 CONCORD, CA 94520 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $614 | — | $614 | 1.33% |
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 | 423 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 424 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 726 | $4.5M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 784 | $424K |
| Vision | VISION SERVICE PLAN | 347 | $48K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 593 | $141K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 593 | $141K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 593 | $203K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 784 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.