Filings through .
| Carrier | Coverage | Premium, renewal |
|---|---|---|
Health | Health | Pro |
Broker: Kristin Lease Life | Life | Pro |
Broker: Joseph Paloukos Dental | Dental | Pro |
Broker: Joseph Paloukos Dental | Dental | Pro |
Broker: Digital Insurance LLC LifeOther | LifeOther | Pro |
Broker: Joseph Paloukos Vision | Vision | Pro |
See premium, retention and renewal dates for 6 contracts with Pro.
Pro shows premium, covered lives, retention, contract numbers and the renewal date for each contract. Free for 7 days, no card. Then $49 a month. Cancel any time.
| Broker | Commissions, fees |
|---|---|
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Colonial Life & Accident Insurance Company | Pro |
Carrier: Delta Dental FFS | Pro |
Carrier: Delta Dental FFS | Pro |
Carrier: Delta Dental FFS | Pro |
Carrier: Deltacare USA | Pro |
Carrier: Deltacare USA | Pro |
Carrier: Deltacare USA | Pro |
Carrier: United of Omaha Life Insurance Company | Pro |
Carrier: Vision Service Plan | Pro |
Carrier: Vision Service Plan | Pro |
Carrier: Vision Service Plan | Pro |
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 | 80 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 80 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 44 | $449K |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL FFS | 34 | $46K |
| Vision | VISION SERVICE PLAN | 34 | $4K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 80 | $58K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 80 | $9K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 80 | — |
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."
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.