| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MINDSHARE BENEFITS & INSURANCE SVCS3 | 5980 STONERIDGE DRIVE # 108 PLEASANTON, CA 94588 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $188K | $0 | $188K | 5.10% |
| MINDSHARE BENEFITS & INSURANCE SVCS3 | 5980 STONERIDGE DRIVE # 108 PLEASANTON, CA 94588 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $0 | $7K | 2.02% |
| MINDSHARE BENEFITS & INSURANCE SVCS3 | 5980 STONERIDGE DRIVE # 108 PLEASANTON, CA 94588 | KAISER FOUNDATION HEALTH PLAN INC | $14K | $0 | $14K | 4.07% |
| MINDSHARE BENEFITS & INSURANCE SVCS3 | 5980 STONERIDGE DRIVE # 108 PLEASANTON, CA 94588 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $5K | $0 | $5K | 3.02% |
| MINDSHARE BENEFITS & INSURANCE SVCS3 | 5980 STONERIDGE DRIVE # 108 PLEASANTON, CA 94588 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | $0 | $12K | 15.00% |
| MINDSHARE BENEFITS & INSURANCE SVCS3 | 5980 STONERIDGE DRIVE # 108 PLEASANTON, CA 94588 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $0 | $5K | 9.67% |
| MINDSHARE BENEFITS & INSURANCE SVCS3 | 5980 STONERIDGE DRIVE # 108 PLEASANTON, CA 94588 | VISION SERVICE PLAN | $2K | $0 | $2K | 3.76% |
| MINDSHARE BENEFITS & INSURANCE SVCS3 | 5980 STONERIDGE DRIVE # 108 PLEASANTON, CA 94588 | THE LINCOLN FINANCIAL LIFE INSURANCE COMPANY | $3K | $0 | $3K | 8.83% |
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 | 256 | 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) | 256 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 564 | $4.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 646 | $344K |
| Vision | VISION SERVICE PLAN | 635 | $49K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 251 | $139K |
| Short-term disability | THE LINCOLN FINANCIAL LIFE INSURANCE COMPANY | 256 | $33K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 256 | $52K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 646 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.