| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| PCF INSURANCE SERVICES OF THE WEST3 | 220 W 20TH AVE SAN MATEO, CA 94403 | KAISER FOUNDATION HEALTH PLAN INC. | $73K | — | $73K | 2.02% |
| BEACON PATH, INC.3 | 26522 LA ALAMEDA, SUITE 210 MISSION VIEJO, CA 92691 | KAISER FOUNDATION HEALTH PLAN INC. | $2K | — | $2K | 0.06% |
| PCF INSURANCE SERVICES OF THE WEST3 | 220 W 20TH AVE SAN MATEO, CA 94403 | KAISER FOUNDATION HEALTH PLAN INC. | $17K | — | $17K | 2.66% |
| BEACON PATH, INC.3 | 26522 LA ALAMEDA, SUITE 210 MISSION VIEJO, CA 92691 | KAISER FOUNDATION HEALTH PLAN INC. | -$28 | — | -$28 | -0.00% |
| PCF INSURANCE SERVICES OF THE WEST3 | 220 W 20TH AVE SAN MATEO, CA 94403 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | $4K | — | $4K | 5.49% |
| ANDREINI & COMPANY3 | 220 W 20TH AVE SAN MATEO, CA 94403 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | $2K | — | $2K | 3.36% |
| BEACON PATH, INC.3 | 26522 LA ALAMEDA, SUITE 210 MISSION VIEJO, CA 92691 | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | $1K | — | $1K | 1.74% |
| PCF INSURANCE SERVICES OF THE WEST3 | 220 W 20TH AVE SAN MATEO, CA 94403 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $2K | — | $2K | 2.75% |
| BEACONPATH, INC.3 | 26522 LA ALAMEDA, STE 210 MISSION VIEJO, CA 92691 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $138 | — | $138 | 0.24% |
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 | 278 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 279 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 477 | $4.3M |
| Dental | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | 467 | $65K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 477 | $4.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 477 | — |
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.