| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FILICE INSURANCE AGENCY3 | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC | $26K | — | $26K | 1.93% |
| PLEASANTON VALLEY INSURANCE3 Filed as: PLEASANTON VALLEY INS. BROKERS, INC | 6602 OWENS DRIVE, SUITE 200 PLEASANTON, CA 94588 | KAISER FOUNDATION HEALTH PLAN INC | $14K | — | $14K | 1.07% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 3716 NORFOLK, VA 23514 | KAISER FOUNDATION HEALTH PLAN INC | $14K | — | $14K | 1.01% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES | 738 NORTH 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | CALIFORNIA PHYSICIANS SERVICE | $7K | $7K | $14K | 4.30% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFITS GROUP, INC. | 6155 ALMEDEN EXPRESSWAY SUITE 210 SAN JOSE, CA 95120 | CALIFORNIA PHYSICIANS SERVICE | — | $8K | $8K | 2.35% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE ENTERPRISES, INC. | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 94524 | HUMANADENTAL INSURANCE COMPANY | $9K | — | $9K | 3.93% |
| PLEASANTON VALLEY INSURANCE3 | 6602 OWENS DRIVE, SUITE 200 PLEASANTON, CA 94588 | HUMANADENTAL INSURANCE COMPANY | $5K | — | $5K | 2.22% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2021 WEST MARCH LANE, 3RD FLOOR STOCKTON, CA 94588 | HUMANADENTAL INSURANCE COMPANY | $4K | — | $4K | 1.72% |
| EXPERTQUOTE, INC.3 | 1136 EAST HAMILTON AVENUE CAMPBELL, CA 95008 | HUMANADENTAL INSURANCE COMPANY | -$145 | — | -$145 | -0.07% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE ENTERPRISES, INC. | 738 NORTH 1ST STREET, SUITE 202 SAN JOSE, CA 95112 | VISION SERVICE PLAN | $3K | — | $3K | 8.40% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURNCE SERVICES, LLC | 2021 WEST MARCH LANE 3RD FLOOR STOCKTON, CA 95207 | VISION SERVICE PLAN | $518 | — | $518 | 1.54% |
| FILICE INSURANCE AGENCY3 Filed as: FILICE ENTERPRICESES, INC. | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KANAWHA INSURANCE COMPANY | $876 | — | $876 | 6.92% |
| PLEASANTON VALLEY INSURANCE3 | 6602 OWENS DRIVE, SUITE 200 PLEASANTON, CA 94588 | KANAWHA INSURANCE COMPANY | $526 | — | $526 | 4.15% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2021 WEST MARCH LANE 3RD FLOOR STOCKTON, CA 95207 | KANAWHA INSURANCE COMPANY | $207 | — | $207 | 1.63% |
| JENKINS INSURANCE SERVICES3 Filed as: JENKINS INSURANCE SERVICES, INC. | PO BOX 5668 CONCORD, CA 94524 | KANAWHA INSURANCE COMPANY | $10 | — | $10 | 0.08% |
| EXPERTQUOTE, INC.3 | 1136 EAST HAMILTON AVENUE CAMPBELL, CA 94588 | KANAWHA INSURANCE COMPANY | -$58 | — | -$58 | -0.46% |
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 | 261 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 262 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 362 | $1.7M |
| Dental | HUMANADENTAL INSURANCE COMPANY | 341 | $220K |
| Vision | VISION SERVICE PLAN | 152 | $34K |
| Life insurance | KANAWHA INSURANCE COMPANY | 341 | $13K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 362 | $1.7M |
| Other | KANAWHA INSURANCE COMPANY | 341 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 362 | — |
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.