| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES, INC. | 2300 CONTRA COSTA BLVD. SUITE 600 PLEASANT HILL, CA 945233979 | KAISER FOUNDATION HEALTH PLAN INC. | $23K | $0 | $23K | 3.69% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES, INC. | 3470 MT. DIABLO BLVD. SUITE A100 LAFAYETTE, CA 945493958 | SUTTER HEALTH PLAN | $20K | $0 | $20K | 5.09% |
| DUBLIN INSURANCE SERVICES, INC.3 Filed as: DUBLIN INSURANCE SERVICES | PO BOX 9026 PLEASONTON, CA 945669026 | VISION SERVICE PLAN | $654 | $0 | $654 | 6.00% |
| BALTOR INSURANCE SERVICES3 | 11 AIRPORT BLVD SUITE 105 SOUTH SAN FRANCISCO, CA 94080 | AFLAC | $282 | $5 | $287 | 4.00% |
| JOSHUA BALTOR3 Filed as: JOSHUA S BALTOR | 11 AIRPORT BLVD. SUITE 105 SOUTH SAN FRANCISCO, CA 94080 | AFLAC | $187 | $59 | $246 | 3.43% |
| GEORGIANNNA STOUT3 | 150 HARBOR DR UNIT 370 SAUSALITO, CA 94966 | AFLAC | $68 | $0 | $68 | 0.95% |
| MARC LAMPELL3 | 448 IGNACIO BLVD #470 NOVATO, CA 94949 | AFLAC | $64 | $0 | $64 | 0.89% |
| JULIE ATKINS3 | 16321 PACIFIC COAST HWY SPC 6 PACIFIC PALISADES, CA 90272 | AFLAC | $60 | $0 | $60 | 0.84% |
| KRISTINA J KUNZ3 | 118 GRANVILLE WAY SAN FRANCISCO, CA 94127 | AFLAC | $41 | $14 | $55 | 0.77% |
| GARY K. ANDERSON3 Filed as: GARY K ANDERSON | 72 MONTE VISTA RD FAIRFAX, CA 94930 | AFLAC | $48 | $0 | $48 | 0.67% |
| ANNA JANICE RUIZ3 | 2596 17TH AVE SAN FRANCISCO, CA 94116 | AFLAC | $30 | $0 | $30 | 0.42% |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES DONALD SPROUSE | 13122 MESA CREST PL SAN DIEGO, CA 92129 | AFLAC | $18 | $0 | $18 | 0.25% |
| NANCY PARMER3 | 2503 19TH STREET SAN FRANCISCO, CA 94110 | AFLAC | $5 | $12 | $17 | 0.24% |
| SCOTT DAVID MORRISSETT3 | 601 MONTGOMERY ST SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $4 | $11 | $15 | 0.21% |
| REGINA E MARTINELLI3 | 3360 RIVER RD WINDSOR, CA 95492 | AFLAC | $12 | $0 | $12 | 0.17% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SVCS INC. | 2300 CONTRA COSTA BLVD. SUITE 600 PLEASANT HILL, CA 94523 | AFLAC | $10 | $0 | $10 | 0.14% |
| LES HEINSEN INS SERVICES INC3 Filed as: LES HEINSEN INS SERVICES INC. | 4416 VIA PALAGIO FAIR OAKS, CA 95628 | AFLAC | $7 | $0 | $7 | 0.10% |
| ERIC BROGAN3 Filed as: ERIC E MILLER | 728 MERCER PL HUNTERSVILLE, NC 28078 | AFLAC | $4 | $0 | $4 | 0.06% |
| ROGER M. BERMAN3 Filed as: ROGER M BERMAN | PO BOX 61 LYNNWOOD, WA 98046 | AFLAC | $4 | $0 | $4 | 0.06% |
| PAUL GLOBAL BENEFITS INC3 Filed as: PAUL SCHNAIDER | 2521 SHADOWBROOKE RD BRENTWOOD, CA 94513 | AFLAC | $3 | $0 | $3 | 0.04% |
| JEANETTE SCHAUB3 | 81 VINTAGE CIR UNIT 3247 PLEASANTON, CA 94566 | AFLAC | $3 | $0 | $3 | 0.04% |
| TODD V MASON3 | 6164 LAWRENCE STREET CYPRESS, CA 90630 | AFLAC | $1 | $0 | $1 | 0.01% |
| NICHOLAS E VIGIL3 | 7808 E CYPRESS ST SCOTTSDALE, AZ 85257 | AFLAC | $1 | $0 | $1 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL JAMES RHODD | 4160 GREEN VALLEY RD FAIRFIELD, CA 94534 | AFLAC | $1 | $0 | $1 | 0.01% |
| GUILLERMO H PALOMINO3 | 2319 E EDNA AVE PHOENIX, AZ 85022 | AFLAC | $1 | $0 | $1 | 0.01% |
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 | 90 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 93 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 59 | $1.0M |
| Vision | VISION SERVICE PLAN | 66 | $11K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 59 | $1.0M |
| Other | AFLAC | 10 | $7K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 66 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.