| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE MILLIMAN AGENCY INC Filed as: MILLIMAN AGENCY INC. | 650 CALIFORNIA ST FL 17 SAN FRANCISCO, CA 941082721 | KAISER FOUNDATION HEALTH PLAN, INC. | — | $44 | $44 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DMC INSURANCE ADMINISTRATORS EIN 94-3115552 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $187K |
| MILLIMAN USA EIN 91-0675641 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $50K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $48K |
| SALTZMAN & JOHNSON EIN 94-2376174 NONE | Legal; Direct payment from the plan Service code 29 | — | $29K |
| UNITED CONCORDIA EIN 25-1687586 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $20K |
| LARRY MORRISON EIN 94-6102389 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $11K |
| TEAMSTERS ASSISTANCE PROGRAM EIN 68-0048516 NONE | Direct payment from the plan; Other services Service code 49 | — | $11K |
| JAMES BEARD EIN 94-6102389 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $9K |
| TIM BREKKE EIN 94-6102389 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $9K |
| CHRISTOPHER CASTAING EIN 94-6102389 TRUSTEE | Trustee (individual); Named fiduciary; Direct payment from the plan Service code 20 | — | $7K |
| INVESCO ADVISORS, INC. EIN 58-1707262 NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $6K |
| THOMAS DILLON EIN 94-6102389 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $6K |
| COREY TACCONI EIN 94-6102389 TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | — | $6K |
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 | 595 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 606 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 564 | $48K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 284 | $8K |
| Other(3 contracts, 2 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 331 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,235 | — |
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.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.