| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | 50 CALIFORNIA ST, FLR 12 SAN FRANCISCO, CA 94111 | KAISER FOUNDATION HEALTH PLAN | $19K | — | $19K | 2.22% |
| VITA INSURANCE ASSOCIATES, INC.3 | 900 N SHORELINE BLVD MOUNTAIN VIEW, CA 94043 | KAISER FOUNDATION HEALTH PLAN | $7K | — | $7K | 0.76% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | 50 CALIFORNIA ST SAN FRANCISCO, CA 94111 | AETNA HEALTH, INC. | $10K | — | $10K | 2.70% |
| VITA INSURANCE ASSOCIATES, INC.3 | 900 N. SHORELINE BLVD. MOUNTAIN VIEW, CA 94043 | AETNA HEALTH, INC. | $1K | — | $1K | 0.27% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | 50 CALIFORNIA ST 12TH FLR, SUITE 1350 SAN FRANCISCO, CA 94111 | DELTA DENTAL OF CALIFORNIA | $4K | — | $4K | 1.88% |
| VITA INSURANCE ASSOCIATES, INC.3 Filed as: VITA BENEFITS GROUP | 900 N SHORELINE BLVD MOUNTAIN VIEW, CA 94043 | DELTA DENTAL OF CALIFORNIA | $1K | — | $1K | 0.62% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO. | 50 CALIFORNIA ST 12TH FLR, SUITE 1350 SAN FRANCISCO, CA 94111 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $1K | $5K | 10.42% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $1K | $1K | 2.98% |
| VITA INSURANCE ASSOCIATES, INC.3 | 900 N SHORELINE BLVD MOUNTAIN VIEW, CA 94043 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 2.56% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | 50 CALIFORNIA ST 12TH FLR, SUITE 1350 SAN FRANCISCO, CA 94111 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $3K | $1K | $5K | 15.68% |
| NATIONAL BENEFIT CENTER3 | — | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $1K | $1K | 4.48% |
| VITA INSURANCE ASSOCIATES, INC.3 Filed as: VITA INSURANCE ASSOCIATES | 900 N SHORELINE BLVD MOUNTAIN VIEW, CA 94043 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $1K | — | $1K | 3.85% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | 50 CALIFORNIA ST, FLR 12 SAN FRANCISCO, CA 94111 | VISION SERVICE PLAN | $1K | — | $1K | 4.06% |
| VITA INSURANCE ASSOCIATES, INC.3 | 900 N SHORELINE BLVD MOUNTAIN VIEW, CA 94043 | VISION SERVICE PLAN | $210 | — | $210 | 0.76% |
| WOODRUFF-SAWYER & CO3 Filed as: WOODRUFF SAWYER & CO | 50 CALIFORNIA ST 12TH FLR, SUITE 1350 SAN FRANCISCO, CA 94111 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $701 | $280 | $981 | 10.43% |
| NATIONAL BENEFIT CENTER3 | 6830 COCHRAN ROAD SOLON, OH 44139 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $280 | $280 | 2.98% |
| VITA INSURANCE ASSOCIATES, INC.3 Filed as: VITA INSURANCE ASSOCIATES | 900 N SHORELINE BLVD MOUNTAIN VIEW, CA 94043 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $240 | — | $240 | 2.55% |
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 | 201 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 209 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SUTTER HEALTH AND AETNA INSURANCE | 116 | $1.3M |
| Dental | DELTA DENTAL OF CALIFORNIA | 201 | $206K |
| Vision | VISION SERVICE PLAN | 199 | $28K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 210 | $44K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 210 | $29K |
| Other(3 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 214 | $59K |
| 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."
No prospect flags tripped on this filing.