| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 35 MAIN STREET, 21ST FLOOR SAN FRANCISCO, CA 94105 | RELIASTAR LIFE INSURANCE COMPANY | $54K | — | $54K | 24.86% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 135 MAIN STREET, 21ST FLOOR SAN FRANCISCO, CA 94105 | CONCERN EAP | $623 | — | $623 | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE N/A | Direct payment from the plan; Contract Administrator Service code 13 | 9700 HEALTH CARE LANE MINNETONKA, MN 55343 | $351K |
| MOSS ADAMS LLP EIN 91-0189318 N/A | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $80K |
| BUSINESS SOLVER N/A | Direct payment from the plan; Contract Administrator Service code 13 | 1025 ASHWORTH ROAD WEST DES MOINES, IA 50265 | $62K |
| EDGEWOOD CENTER INSURANCE CENTER N/A | Other commissions; Direct payment from the plan Service code 50 | 135 MAIN STREET, 21ST FLOOR SAN FRANCISCO, CA 94105 | $55K |
| DELTA DENTAL N/A | Direct payment from the plan; Contract Administrator Service code 13 | 100 FIRST STREET SAN FRANCISCO, CA 94105 | $49K |
| INTERREMEDY INSURANCE SERVICES N/A | Contract Administrator; Direct payment from the plan Service code 13 | 315 MONTGOMERY STREET SUITE 900 SAN FRANCISCO, CA 94104 | $43K |
| VISION SERVICE PLAN EIN 94-1632821 N/A | Direct payment from the plan; Contract Administrator Service code 13 | — | $22K |
| THE LARKIN COMPANY N/A | Contract Administrator; Direct payment from the plan Service code 13 | 2350 MISSION COLLEGE BLVD, SUITE 39 SANTA CLARA, CA 95054 | $13K |
| EASTRIDGE WORKFORCE N/A | Direct payment from the plan; Accounting (including auditing) Service code 10 | 2385 NORTHSIDE DR. SUITE 250 SAN DIEGO, CA 92108 | $12K |
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 | 647 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 29 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 676 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 205 | $1.2M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1 | $0 |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 2,176 | $219K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC. | 205 | $1.2M |
| Other(5 contracts, 4 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 2,176 | $231K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,176 | — |
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."
No prospect flags tripped on this filing.