| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA | 5664 PRAIRIE CREEK DRIVE SE CALEDONIA, MI 49316 | KAISER FOUNDATION HEALTH PLAN, INC. | $19K | $0 | $19K | 3.76% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 61187 VIRGINIA BEACH, VA 23466 | KAISER FOUNDATION HEALTH PLAN, INC. | $6K | $0 | $6K | 1.16% |
| BENEFITS DONE RIGHT INC3 Filed as: BENEFITS DONE RIGHT INS. AGENCY | 601 UNIVERSITY AVENUE, SUITE 250 SACRAMENTO, CA 95825 | SUTTER HEALTH PLAN | $11K | $0 | $11K | 3.71% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 10940 WHITE ROCK ROAD RANCHO CORDOVA, CA 95670 | SUTTER HEALTH PLAN | $4K | $0 | $4K | 1.29% |
| JESSICA HINKLE3 | 601 UNIVERSITY AVENUE, SUITE 250 SACRAMENTO, CA 95825 | WESTERN HEALTH ADVANTAGE | $7K | $0 | $7K | 3.54% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2421 WEST PEORIA AVENUE PHOENIX, AZ 85029 | WESTERN HEALTH ADVANTAGE | $3K | $0 | $3K | 1.34% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA | 601 UNIVERSITY AVENUE, SUITE 250 SACRAMENTO, CA 95825 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | $7K | $17K | 12.07% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $4K | $4K | 3.19% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2800 WEST MARCH LANE, SUITE 100 STOCKTON, CA 95219 | PRINCIPAL LIFE INSURANCE COMPANY | $4K | $0 | $4K | 2.70% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA | 910 HAMILTON AVENUE, SUITE 410 CAMPBELL, CA 95008 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 22.51% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 10940 WHITE ROCK ROAD, 2ND FLOOR CORDOVA, CA 95670 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $76 | $0 | $76 | 0.66% |
| BENEFITS DONE RIGHT INC3 Filed as: BENEFITS DONE RIGHT INS. AGENCY | 601 UNIVERSITY AVENUE, SUITE 250 SACRAMENTO, CA 95825 | HEALTH AND HUMAN RESOURCE CENTER | $151 | $0 | $151 | 7.22% |
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 | 160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 55 | $1.0M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 197 | $141K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 197 | $141K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 197 | $141K |
| Prescription drug(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 55 | $1.0M |
| Other(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 197 | $154K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 197 | — |
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.