| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | KAISER FOUNDATION HEALTH PLAN INC | $51K | $0 | $51K | 3.98% |
| USI INSURANCE SERVICES LLC3 | PO BOX 4409 PETALUMA, CA 94955 | WESTERN HEALTH ADVANTAGE | $15K | $0 | $15K | 4.34% |
| USI INSURANCE SERVICES LLC3 | 3247 WEST MARCH LANE, SUITE 210 STOCKTON, CA 95219 | PREMIER ACCESS INSURANCE COMPANY | $8K | $0 | $8K | 4.00% |
| BRITTANY LLOYD3 | 309 PARKFIELD WAY OAKLEY, CA 94561 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $561 | $551 | $1K | 4.04% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $796 | $34 | $830 | 3.01% |
| MJ INSURANCE3 Filed as: MARY KOCH AND VARIOUS AGENTS | 117 WOLF RIVER COURT ROSEVILLE, CA 95661 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $628 | $123 | $751 | 2.73% |
| STEPHANIE NOELLE KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $432 | $60 | $492 | 1.79% |
| CANDICE ELISE EUSEBIO3 | 5756 OWENS DRIVE APARTMENT 205 PLEASANTON, CA 94588 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $282 | $36 | $318 | 1.16% |
| CASEY JAMES KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $113 | $167 | $280 | 1.02% |
| SALVADOR HEREDIA3 | 700 EL CAMINITO LIVERMORE, CA 94550 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $159 | $27 | $186 | 0.68% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $169 | $2K | 7.00% |
| BRITTANY LLOYD3 | 309 PARKFIELD WAY OAKLEY, CA 94561 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $673 | $723 | $1K | 5.84% |
| STEPHANIE NOELLE KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $631 | $191 | $822 | 3.44% |
| SALVADOR HEREDIA3 | 700 EL CAMINITO LIVERMORE, CA 94550 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $667 | $139 | $806 | 3.37% |
| CANDICE ELISE EUSEBIO3 Filed as: CANDICE E. EUSEBIO AND OTHER AGENTS | 5756 OWENS DRIVE APARTMENT 205 PLEASANTON, CA 94588 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $690 | $32 | $722 | 3.02% |
| CASEY JAMES KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $159 | $371 | $530 | 2.22% |
| BRIAN ROBERT LLOYD3 | PO BOX 11 KNIGHTSEN, CA 94548 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $163 | $274 | $437 | 1.83% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $719 | $34 | $753 | 3.68% |
| BRITTANY LLOYD3 | 309 PARKFIELD WAY OAKLEY, CA 94561 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $249 | $165 | $414 | 2.02% |
| STEPHANIE NOELLE KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $338 | $41 | $379 | 1.85% |
| MJ INSURANCE3 Filed as: BRIAN R. LLOYD AND VARIOUS AGENTS | PO BOX 11 KNIGHTSEN, CA 94548 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $303 | $66 | $369 | 1.80% |
| CANDICE ELISE EUSEBIO3 | 5756 OWENS DRIVE APARTMENT 205 PLEASANTON, CA 94588 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $213 | $27 | $240 | 1.17% |
| CASEY JAMES KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $69 | $89 | $158 | 0.77% |
| MARY KOCH3 | 117 WOLF RIVER COURT ROSEVILLE, CA 95661 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $151 | $0 | $151 | 0.74% |
| MICHAEL Q. RIGGIO3 | UNKNOWN CONCORD, CA 94520 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.18% |
| USI INSURANCE SERVICES LLC3 | PO BOX 62949 VIRGINIA BEACH, VA 23466 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $189 | $1K | 14.34% |
| BRITTANY LLOYD3 | 309 PARKFIELD WAY OAKLEY, CA 94561 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $292 | $343 | $635 | 8.91% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $322 | $31 | $353 | 4.96% |
| CANDICE ELISE EUSEBIO3 | 5756 OWENS DRIVE APARTMENT 205 PLEASANTON, CA 94588 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $308 | $39 | $347 | 4.87% |
| CASEY JAMES KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $51 | $125 | $176 | 2.47% |
| STEPHANIE NOELLE KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $129 | $39 | $168 | 2.36% |
| SALVADOR HEREDIA3 Filed as: SALVADOR HEREDIA AND OTHER AGENTS | 700 EL CAMINITO LIVERMORE, CA 94550 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $154 | $3 | $157 | 2.20% |
| BRIAN ROBERT LLOYD3 | PO BOX 11 KNIGHTSEN, CA 94548 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $51 | $92 | $143 | 2.01% |
| BRITTANY LLOYD3 | 309 PARKFIELD WAY OAKLEY, CA 94561 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $239 | $315 | $554 | 19.24% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $333 | $51 | $384 | 13.33% |
| SALVADOR HEREDIA3 | 700 EL CAMINITO LIVERMORE, CA 94550 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $195 | $42 | $237 | 8.23% |
| CASEY JAMES KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $32 | $92 | $124 | 4.31% |
| STEPHANIE NOELLE KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $73 | $29 | $102 | 3.54% |
| BRIAN ROBERT LLOYD3 | PO BOX 11 KNIGHTSEN, CA 94548 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $32 | $68 | $100 | 3.47% |
| CANDICE ELISE EUSEBIO3 Filed as: CANDICE E. EUSEBIO AND OTHER AGENTS | 5756 OWENS DRIVE APARTMENT 205 PLEASANTON, CA 94588 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $85 | $6 | $91 | 3.16% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES NORTHWEST | 601 UNION STREET, SUITE 1000 SEATTLE, WA 98101 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $139 | $14 | $153 | 6.29% |
| BRITTANY LLOYD3 | 309 PARKFIELD WAY OAKLEY, CA 94561 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $55 | $57 | $112 | 4.60% |
| STEPHANIE NOELLE KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $73 | $16 | $89 | 3.66% |
| CANDICE ELISE EUSEBIO3 | 5756 OWENS DRIVE APARTMENT 205 PLEASANTON, CA 94588 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $77 | $10 | $87 | 3.57% |
| CASEY JAMES KUGLER3 | 336 PACIFICA DRIVE BRENTWOOD, CA 94513 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $14 | $30 | $44 | 1.81% |
| MJ INSURANCE3 Filed as: MARY KOCH AND VARIOUS AGENTS | 117 WOLF RIVER COURT ROSEVILLE, CA 95661 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $40 | $0 | $40 | 1.64% |
| BRIAN ROBERT LLOYD3 | PO BOX 11 KNIGHTSEN, CA 94548 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $14 | $22 | $36 | 1.48% |
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 | 300 | 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) | 300 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 255 | $1.6M |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 372 | $206K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 252 | $20K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 300 | $9K |
| Short-term disability(5 contracts) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 19 | $60K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN INC | 255 | $1.3M |
| Other(7 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 300 | $94K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 372 | — |
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."
No prospect flags tripped on this filing.