| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | PO BOX 62949 VIRGINIA BEACH, VA 23466 | KAISER FOUNDATION HEALTH PLAN INC | $47K | — | $47K | 3.36% |
| FILICE INSURANCE AGENCY3 | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KAISER FOUNDATION HEALTH PLAN INC | $17 | — | $17 | 0.00% |
| PLEASANTON VALLEY INSURANCE3 Filed as: PLEASANTON VALLEY INS. BROKERS, INC | 6602 OWENS DRIVE, SUITE 200 PLEASANTON, CA 94588 | KAISER FOUNDATION HEALTH PLAN INC | $11 | — | $11 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 3247 WEST MARCH LANE, SUITE 210 STOCKTON, CA 95219 | CALIFORNIA PHYSICIANS SERVICE | $11K | — | $11K | 3.10% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFITS GROUP, INC. | 6155 ALMEDEN EXPRESSWAY SUITE 210 SAN JOSE, CA 95120 | CALIFORNIA PHYSICIANS SERVICE | — | $8K | $8K | 2.23% |
| RBJ SAN JOSE3 | 6155 ALMADEN EXPRESSWAY, SUITE 210 SAN JOSE, CA 95219 | CALIFORNIA PHYSICIANS SERVICE | $1K | — | $1K | 0.35% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2021 WEST MARCH LANE, 3RD FLOOR STOCKTON, CA 94588 | HUMANADENTAL INSURANCE COMPANY | $10K | — | $10K | 3.66% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | HUMANADENTAL INSURANCE COMPANY | $9K | — | $9K | 3.30% |
| EXPERTQUOTE, INC.3 | 1136 EAST HAMILTON AVENUE CAMPBELL, CA 95008 | HUMANADENTAL INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 3247 WEST MARCH LANE, SUITE 210 STOCKTON, CA 95219 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | — | $2K | 9.58% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES, LLC | 2021 WEST MARCH LANE 3RD FLOOR STOCKTON, CA 95112 | KANAWHA INSURANCE COMPANY | $15 | — | $15 | 0.12% |
| FILICE INSURANCE AGENCY3 Filed as: RON FILICE ENTERPRISES, INC. | 738 NORTH FIRST STREET, SUITE 202 SAN JOSE, CA 95112 | KANAWHA INSURANCE COMPANY | $12 | — | $12 | 0.09% |
| PLEASANTON VALLEY INSURANCE3 | 6602 OWENS DRIVE, SUITE 200 PLEASANTON, CA 94588 | KANAWHA INSURANCE COMPANY | $8 | — | $8 | 0.06% |
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 | 361 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 361 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 328 | $1.8M |
| Dental | HUMANADENTAL INSURANCE COMPANY | 207 | $266K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 259 | $22K |
| Life insurance | KANAWHA INSURANCE COMPANY | 309 | $13K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 328 | $1.8M |
| Other(2 contracts, 2 carriers) | KANAWHA INSURANCE COMPANY | 361 | $13K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 361 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.