| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RELATION INSURANCE INC3 Filed as: RELATION INS. SERVICES OF CA, INC. | 2300 CONTRA COSTA BOULEVARD SUITE 525 PLEASANT HILL, CA 94523 | SUTTER HEALTH PLAN | $33K | $0 | $33K | 5.00% |
| RELATION INSURANCE INC3 Filed as: RELATION INS. SERVICES OF CA, INC. | 2300 CONTRA COSTA BOULEVARD SUITE 525 PLEASANT HILL, CA 94523 | KAISER FOUNDATION HEALTH PLAN, INC. | $16K | $0 | $16K | 3.44% |
| RELATION INSURANCE INC3 Filed as: RELATION INS. SERVICES OF CA, INC. | 2300 CONTRA COSTA BOULEVARD SUITE 525 PLEASANT HILL, MO 94523 | SUN LIFE ASSURANCE COMPANY OF CANADA | $7K | $0 | $7K | 5.22% |
| CENTRO BENEFITS RESEARCH LLC3 Filed as: CENTRO BENEFITS RESEARCH, LLC | 325 NORTH KIRKWOOD ROAD, SUITE 300 KIRKWOOD, MO 63122 | SUN LIFE ASSURANCE COMPANY OF CANADA | $0 | $459 | $459 | 0.34% |
| RELATION INSURANCE INC3 Filed as: RELATION INS. SERVICES OF CA, INC. | 2300 CONTRA COSTA BOULEVARD SUITE 525 PLEASANT HILL, CA 94523 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $582 | $0 | $582 | 11.23% |
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 | 154 | 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) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | SUTTER HEALTH PLAN | 109 | $1.1M |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 144 | $137K |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 140 | $5K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 144 | $137K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 144 | $137K |
| Prescription drug(2 contracts, 2 carriers) | SUTTER HEALTH PLAN | 109 | $1.1M |
| Other | SUN LIFE ASSURANCE COMPANY OF CANADA | 144 | $137K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 144 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.