| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BAY AREA BENEFITS INSURANCE SERVICE3 | 2240 CAMINO SAN RAMON, CA 945831352 | KAISER FOUNDATION HEALTH PLAN INC. | $32K | — | $32K | 3.26% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKERS | 1570 THE ALAMEDA STE 101 SAN JOSE, CA 951262335 | KAISER FOUNDATION HEALTH PLAN INC. | $10K | — | $10K | 0.98% |
| BAY AREA BENEFITS INSURANCE SERVICE3 | 2240 CAMINO RAMON SUITE 100 SAN RAMON, CA 945831352 | PRINCIPAL LIFE INSURANCE COMPANY | $14K | — | $14K | 8.46% |
| ROGERS BENEFIT GROUP INC3 | PO BOX 460940 PAPILLION, NE 680460940 | PRINCIPAL LIFE INSURANCE COMPANY | $7K | — | $7K | 4.23% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKERS | 1570 THE ALAMEDA SUITE 101 SAN JOSE, CA 951262335 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 1.55% |
| BAY AREA BENEFITS INSURANCE SERVICE3 | 2240 CAMINO RAMON SUITE 100 SAN RAMON, CA 945831352 | VISION SERVICE PLAN | $853 | — | $853 | 5.08% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKERS | 1570 THE ALAMEDA SUITE 101 SAN JOSE, CA 951262335 | VISION SERVICE PLAN | $389 | — | $389 | 2.32% |
| ENROLLEASE3 Filed as: ENROLLEASE, INC. DBA EASECENTRAL | 1980 FESTIVAL PLAZA DR. STE 810 LAS VEGAS, NV 891352958 | VISION SERVICE PLAN | $177 | — | $177 | 1.05% |
| BAY AREA BENEFITS INSURANCE SERVICE3 | 2240 CAMINO RAMON SAN RAMON, CA 945831352 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $709 | — | $709 | 7.22% |
| LEAVITT GROUP3 Filed as: LEAVITT PACIFIC INSURANCE BROKERS | 1570 THE ALAMEDA SUITE 101 SAN JOSE, CA 951262335 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $273 | — | $273 | 2.78% |
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 | 121 | 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) | 121 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC. | 183 | $992K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 214 | $164K |
| Vision | VISION SERVICE PLAN | 93 | $17K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $10K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 121 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 214 | — |
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.