| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 910 E HAMILTON AVE STE 410 CAMPBELL, CA 95008 | KAISER FOUNDATION HEALTH PLAN INC | $40K | $7 | $40K | 4.59% |
| SUHR RISK SERVICES3 Filed as: SUHR RISK SERVICES OF CALIFORNIA | 910 E HAMILTON AVE STE 410 CAMPBELL, CA 95008 | SUTTER HEALTH PLAN | $7K | — | $7K | 5.00% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | DBA SUHR RISK SERVICES 5300 STEVENS CRK BLVD FL 3 SAN JOSE, CA 95129 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | — | $6K | 7.84% |
| ACRISURE LLC3 | 5664 PRAIRIE CREEK DR SE CALEDONIA, MI 49316 | PRINCIPAL LIFE INSURANCE COMPANY | — | $804 | $804 | 0.99% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 3925 BOHANNON DR STE 100 MENLO PARK, CA 94025 | PRINCIPAL LIFE INSURANCE COMPANY | — | $753 | $753 | 0.93% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 910 E HAMILTON AVE STE 410 CAMPBELL, CA 95008 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 4.59% |
| VOLUNTARY BENEFIT ADVISORS3 Filed as: VOLUNTARY BENEFIT ADVISORS INC | 2400 MAIN ST, STE 200 IRVINE, CA 92614 | TRANSAMERICA LIFE INSURANCE COMPANY | $3K | — | $3K | 8.32% |
| ROBERT B. SUHR & COMPANY INSURANCE3 | BROKER 5300 STEVENS CREEK BLVD FLOOR 3 SAN JOSE, CA 95129 | TRANSAMERICA LIFE INSURANCE COMPANY | $874 | — | $874 | 2.31% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | TRANSAMERICA LIFE INSURANCE COMPANY | $474 | — | $474 | 1.25% |
| SUHR RISK SERVICES3 | 910 E. HAMILTON AVE. SUITE 410 CAMPBELL, CA 95008 | CALIFORNIA DENTAL NETWORK, INC. | $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 | 126 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 126 | $1.0M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 75 | $94K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 75 | $81K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 75 | $81K |
| Short-term disability | TRANSAMERICA LIFE INSURANCE COMPANY | 38 | $38K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 126 | $1.0M |
| Other | TRANSAMERICA LIFE INSURANCE COMPANY | 38 | $38K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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.