| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES LLC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $61K | $2K | $62K | 2.99% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC. | $7K | $237 | $7K | 3.01% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $9K | $5K | $14K | 19.86% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | STANDARD INSURANCE COMPANY | $3K | — | $3K | 9.94% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 5.06% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | STANDARD INSURANCE COMPANY | — | $171 | $171 | 0.67% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | DELTA DENTAL OF CALIFORNIA | $250 | — | $250 | 1.40% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | DELTA DENTAL OF CALIFORNIA | $196 | — | $196 | 1.10% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 9.94% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | STANDARD INSURANCE COMPANY | $510 | — | $510 | 5.06% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | STANDARD INSURANCE COMPANY | — | $67 | $67 | 0.67% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE INSURANCE SERVICES, LLC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | DELTA DENTAL OF CALIFORNIA | $4K | — | $4K | — |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC | 738 NORTH FIRST STREET, STE 202 SAN JOSE, CA 95112 | DELTA DENTAL OF CALIFORNIA | $4K | — | $4K | — |
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 | 467 | 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) | 469 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 272 | $2.3M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 404 | $18K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 354 | $72K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 354 | $72K |
| Short-term disability | STANDARD INSURANCE COMPANY | 32 | $10K |
| Long-term disability | STANDARD INSURANCE COMPANY | 32 | $26K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 272 | $2.3M |
| Other | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 354 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 404 | — |
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.