| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MATRIX INSURANCE AGENCY3 Filed as: MATRIX GROUP INSURANCE AGENCY | 42840 CHRISTY ST SUITE 107 FREMONT, CA 94538 | UNITEDHEALTHCARE INSURANCE COMPANY | $47K | $9K | $56K | 6.01% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES, | 32110 AGOURA RD WEST LAKE VILLAGE, CA 91361 | UNITEDHEALTHCARE INSURANCE COMPANY | $19K | $0 | $19K | 2.00% |
| MATRIX INSURANCE AGENCY3 | 42840 CHRISTY ST SUITE 107 FREMONT, CA 94538 | METROPOLITAN LIFE INSURANCE COMPANY | $20K | $0 | $20K | 10.41% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INS SERVICES | 32110 AGOURA RD WEST LAKE, CA 91361 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $723 | $10K | 5.28% |
| MATRIX INSURANCE AGENCY3 | 42840 CHRISTY ST SUITE 107 FREMONT, CA 94538 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | $0 | $7K | 4.73% |
| MATRIX INSURANCE AGENCY3 | 42840 CHRISTY ST SUITE 107 FREMONT, CA 94538 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | $0 | $7K | 4.67% |
| MATRIX INSURANCE AGENCY3 | 42840 CHRISTY ST SUITE 107 FREMONT, CA 94538 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MATRIX GROUP INS AGENCY ADMINISTRATOR | Contract Administrator Service code 13 | 42840 CHRISTY ST SUITE 107 FREMONT, CA 94538 | $84K |
| WARNER PACIFIC INS SERVICES ADMINISTRATPR | Contract Administrator Service code 13 | 32110 AGOURA RD WESTLAKE VILLAGE, CA 91361 | $29K |
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 | 395 | 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) | 395 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 161 | $1.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 395 | $196K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 453 | $29K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 395 | $196K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 395 | $196K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 36 | $292K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 395 | $196K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 453 | — |
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.