| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | PO BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC | $47K | $2K | $48K | 4.04% |
| DEALEY RENTON & ASSOCIATES3 | PO BOX 12675 OAKLAND, CA 946042675 | KAISER FOUNDATION HEALTH PLAN INC | $11K | — | $11K | 0.89% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E FOOTHILL BLVD STE 100 PASADENA, CA 91102 | CALIFORNIA PHYSICIANS' SERVICE | $7K | $30K | $38K | 3.98% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN | 701 S PARKER ST 8TH FL ORANGE, CA 92868 | CALIFORNIA PHYSICIANS' SERVICE | $20K | — | $20K | 2.08% |
| DEALEY RENTON & ASSOCIATES3 | 530 WATER STREET 7TH FLOOR OAKLAND, CA 94607 | CALIFORNIA PHYSICIANS' SERVICE | $1K | $6K | $7K | 0.77% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E FOOTHILL BLVD STE 100 PASADENA, CA 91102 | CALIFORNIA PHYSICIANS' SERVICE | — | $3K | $3K | 0.28% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | PO BOX 6030 PASADENA, CA 911026030 | KAISER FOUNDATION HEALTH PLAN INC | $19K | $578 | $20K | 4.35% |
| DEALEY RENTON & ASSOCIATES3 | PO BOX 12675 OAKLAND, CA 946042675 | KAISER FOUNDATION HEALTH PLAN INC | $2K | — | $2K | 0.41% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E FOOTHILL BLVD STE 100 PASADENA, CA 91102 | BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY | $2K | — | $2K | 12.56% |
| DEALEY RENTON & ASSOCIATES3 | 530 WATER STREET 7TH FLOOR OAKLAND, CA 94607 | BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY | $483 | — | $483 | 2.44% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN | 701 S PARKER ST 8TH FL ORANGE, CA 92868 | BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY | $396 | — | $396 | 2.00% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: BOLTON & COMPANY | 3475 E FOOTHILL BLVD STE 100 PASADENA, CA 91102 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 10.97% |
| DEALEY RENTON & ASSOCIATES3 Filed as: DEALEY, RENTON & ASSOCIATES IN | PO BOX 12675 OAKLAND, CA 94604 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $325 | — | $325 | 2.03% |
| PACIFIC ADVISORS LLC3 | 333 INDIAN HILL BLVD CLAREMONT, CA 91711 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $42 | — | $42 | 0.26% |
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 | 130 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 132 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 154 | $2.6M |
| Dental | CALIFORNIA PHYSICIANS' SERVICE | 106 | $954K |
| Vision | CALIFORNIA PHYSICIANS' SERVICE | 106 | $954K |
| Life insurance(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY | 131 | $36K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 106 | $954K |
| Other(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA LIFE HEALTH INSURANCE COMPANY | 131 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 154 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.