| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HEALTHY HALO INSURANCE SERVICES INC3 Filed as: HEALTHY HALO INSURANCE SERVICE INC | 3727 W. MAGNOLIA BLVD. #829 BURBANK, CA 915052818 | KAISER FOUNDATION HEALTH PLAN INC. | $29K | — | $29K | 4.19% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKER | 1570 THE ALAMEDA STE 101 SAN JOSE, CA 591262335 | KAISER FOUNDATION HEALTH PLAN INC. | $9K | — | $9K | 1.24% |
| HEALTHY HALO INSURANCE SERVICES INC3 Filed as: HEALTHY HALO INSURANCE SERVICES | 110 W PROVIDENCIA AVE SUITE 101 BURBANK, CA 91502 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 3.94% |
| ENROLLEASE3 | 660 YORK STREET SUITE 102 SAN FRANCISCO, CA 94110 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 1.46% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKER | 1330 S. BASCOM AVE SAN JOSE, CA 95128 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 1.30% |
| VARIOUS - SEE ATTACHED3 Filed as: VARIOUS BROKERS (SEE ATTACHED) | PO BOX 1365 COLUMBIA, SC 292021365 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $2K | $8K | 31.28% |
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 | 101 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 80 | $688K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 100 | $104K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 100 | $104K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 100 | $104K |
| Long-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 23 | $25K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 80 | $688K |
| Other(2 contracts, 2 carriers) | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 100 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 100 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.