| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5300 STEVENS CREEK BLVD FLOOR 3 SAN JOSE, CA 95129 | KAISER FOUNDATION HEALTH PLAN INC | $21K | — | $21K | 3.19% |
| ROBERT B. SUHR & COMPANY INSURANCE3 | 5300 STEVENS CREEK BLVD SAN JOSE, CA 95129 | KAISER FOUNDATION HEALTH PLAN INC | $15K | — | $15K | 2.25% |
| SUHR RISK SERVICES3 Filed as: SUHR RISK SERVICES OF CALIFORNIA | 5300 STEVENS CREEK BLVD SUITE 300 SAN JOSE, CA 95129 | SUTTER HEALTH PLANS | $6K | — | $6K | 5.00% |
| ROBERT B. SUHR & COMPANY INSURANCE3 Filed as: ROBERT B SUHR & COMPANY INSURANCE | 5300 STEVENS CREEK BLVD FLOOR 3 SAN JOSE, CA 95129 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 7.70% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5300 STEVENS CREEK BLVD FLOOR 3 SAN JOSE, CA 95129 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 1.49% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 5300 STEVENS CREEK BLVD FLOOR 3 SAN JOSE, CA 95129 | KAISER FOUNDATION HEALTH PLAN INC | $903 | — | $903 | 3.17% |
| ROBERT B. SUHR & COMPANY INSURANCE3 | 5300 STEVENS CREEK BLVD SAN JOSE, CA 95129 | KAISER FOUNDATION HEALTH PLAN INC | $645 | — | $645 | 2.26% |
| SUHR RISK SERVICES3 | 5300 STEVENS CREEK BLVD 3RD FLOOR SAN JOSE, CA 95129 | CALIFORNIA DENTAL | $1K | — | $1K | 10.00% |
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 | 149 | 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) | 149 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 130 | $793K |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 84 | $88K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 84 | $78K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 84 | $78K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 130 | $793K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.