| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RIS EMPLOYEE BENEFITS INC3 | — | KAISER FOUNDATION HEALTH PLAN INC | $56K | $0 | $56K | 5.25% |
| BENEFIT BROKERAGE SERVICES3 | 40485 ENCYCLOPEDIA CIRCLE SUITE 1462 FREMONT, CA 94530 | THE NORTH RIVER INSURANCE COMPANY | $63K | — | $63K | 12.49% |
| RIS EMPLOYEE BENEFITS INC3 | — | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $0 | $9K | 5.02% |
| RIS EMPLOYEE BENEFITS INC3 | 221 MAIN STREET SUITE 1462 LOS ALTOS, CA 94023 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $18K | — | $18K | 12.00% |
| IMG5 | 2960 NORTH MERIDIAN STREET INDIANAPOLIS, IN 46208 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $34 | $34 | 0.02% |
| RIS EMPLOYEE BENEFITS INC3 | 221 MAIN STREET SUITE 1462 LOS ALTOS, CA 94023 | VISION SERVICE PLAN | $2K | — | $2K | 3.89% |
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 | 247 | 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) | 248 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 158 | $1.1M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 481 | $186K |
| Vision | VISION SERVICE PLAN | 218 | $45K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 247 | $152K |
| Short-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 247 | $152K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 247 | $152K |
| Stop-loss / reinsurancereinsurance | THE NORTH RIVER INSURANCE COMPANY | 62 | $501K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 247 | $152K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 481 | — |
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.