| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 N. CALIFORNIA BLVD., STE.1000 WALNUT CREEK, CA 94596 | AETNA LIFE INSURANCE COMPANY | $54K | $8K | $63K | 5.86% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 N. CALIFORNIA BLVD., STE.1000 WALNUT CREEK, CA 94596 | KAISER FOUNDATION HEALTH PLAN INC | $33K | — | $33K | 5.07% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 N. CALIFORNIA BLVD., STE. 1000 WALNUT CREEK, CA 94596 | AETNA HEALTH, INC. | $22K | — | $22K | 5.03% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 N. CALIFORNIA BLVD., STE. 1000 WALNUT CREEK, CA 94596 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | $43 | $4K | 3.07% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.67% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $5K | — | $5K | 11.74% |
| ALLIANT INSURANCE SERVICES, INC.3 | 2121 N. CALIFORNIA BLVD., STE. 1000 WALNUT CREEK, CA 94596 | BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH | $697 | — | $697 | 10.09% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | CALIFORNIA PHYSICIANS SERVICE | $176 | — | $176 | 3.39% |
| FARALLONE PACIFIC INSURANCE3 Filed as: FARALLONE PACIFIC INS. , SVCS., LLC | 859 DIABLO AVENUE NOVATO, CA 94947 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $383 | — | $383 | 15.00% |
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 | 166 | 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) | 166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 115 | $2.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 350 | $136K |
| Vision(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA LIFE AND HEALTH | 268 | $12K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 167 | $39K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 167 | $39K |
| Prescription drug(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 115 | $2.2M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 167 | $41K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 350 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.