| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT DIABLO BLVD STE 100 LAFAYETTE, CA 945493769 | KAISER FOUNDATION HEALTH PLAN INC | $53K | — | $53K | 3.97% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2700 POST OAK BOULEVARD 25TH FLOOR HOUSTON, TX 77056 | PREMIER ACCESS INSURANCE COMPANY | $4K | — | $4K | 7.49% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT. DIABLO STE 100 LAFAYETTE, CA 94549 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $560 | — | $560 | 2.60% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 3697 MT DIABLO BLVD STE 100 LAFAYETTE, CA 94549 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $50 | $1K | 13.27% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 1390 WILLOW PASS RD STE 800 CONCORD, CA 945207924 | METROPOLITAN LIFE INSURANCE COMPANY | — | $118 | $118 | 1.28% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & BROWN INS SERVICES OF CA | 3697 MT DIABLO BLVD STE 100 LAFAYETTE, CA 94549 | METROPOLITAN LIFE INSURANCE COMPANY | — | $99 | $99 | 1.07% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 4675 MACARTHUR CT STE 750 NEWPORT BEACH, CA 926608891 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4 | $4 | 0.04% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 Filed as: EDGEWOOD PARTNEERS INSURANCE CENTER | P.O. BOX 511398 LOS ANGELES, CA 900517653 | EYEMED VISION CARE | $828 | — | $828 | 10.04% |
| MAXWELL HEALTH3 Filed as: MAXWELL HEALTH - BOR | 101 TREMONT ST. FLOOR 11 BOSTON, MA 02108 | EYEMED VISION CARE | $83 | — | $83 | 1.01% |
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 | 139 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 139 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 184 | $1.4M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 185 | $51K |
| Vision | EYEMED VISION CARE | 104 | $8K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 139 | $9K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 184 | $1.4M |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 139 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 185 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.