Filings through .
| Carrier | Coverage | Premium, renewal |
|---|---|---|
Broker: Hub International Insurance Svcs. HealthRxHMOPPO | HealthRxHMOPPO | Pro |
HealthRxHMO | HealthRxHMO | Pro |
DentalHMOPPO | DentalHMOPPO | Pro |
LifeLTDOther | LifeLTDOther | Pro |
Broker: Brown & Brown Insurance Svcs., Inc. Other | Other | Pro |
Broker: Hub International Vision | Vision | Pro |
Broker: Reuben Warner Associates, Inc. Other | Other | Pro |
See premium, retention and renewal dates for 7 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: Blue Shield of California | Pro |
Carrier: Metropolitan Life Insurance Company | Pro |
Carrier: Metropolitan Life Insurance Company | Pro |
Carrier: Eyemed Vision Care on Behalf of the Fidelity Security Life Ins. Co. | Pro |
Carrier: Hartford Life and Accident | Pro |
Carrier: Hartford Life and Accident | 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 | 706 | 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) | 717 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 578 | $10.8M |
| Dental | DELTA DENTAL OF CALIFORNIA | 1,029 | $483K |
| Vision | EYEMED VISION CARE ON BEHALF OF THE FIDELITY SECURITY LIFE INS. CO. | 864 | $53K |
| Life insurance | STANDARD INSURANCE COMPANY | 706 | $249K |
| Long-term disability | STANDARD INSURANCE COMPANY | 706 | $249K |
| Prescription drug(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 578 | $10.8M |
| Other(3 contracts, 3 carriers) | STANDARD INSURANCE COMPANY | 706 | $327K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,029 | — |
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."
Broker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultant sales target.
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.