| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | P.O. BOX 743376 LOS ANGELES, CA 90074 | KAISER FOUNDATION HEALTH PLAN INC. | $210K | — | $210K | 2.30% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | P.O. BOX 232017 PLEASANT HILL, CA 94523 | BLUE CROSS OF CALIFORNIA | $54K | — | $54K | 3.74% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 2000 ALAMEDA DE LAS PULGAS SAN MATEO, CA 94403 | BLUE CROSS OF CALIFORNIA | $5K | — | $5K | 0.38% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | P.O. BOX 101809 PASADENA, CA 91189 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $39K | — | $39K | 4.96% |
| INTEGRO INSURANCE BROKERS3 | P.O. BOX 743376 LOS ANGELES, CA 90074 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $24K | $169 | $24K | 4.02% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | P.O. BOX 743376 LOS ANGELES, CA 90074 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $87K | — | $87K | 14.73% |
| BENEFIT TECHNOLOGY RESOURCES5 Filed as: BENEFIT TECHNOLOGY RESOURCES LLC | P.O. BOX 26622 TAMPA, FL 33623 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $35K | $35K | 5.92% |
| EDGEWOOD PARTNERS INSURANCE CENTER3 | 19000 MACARTHUR BLVD., PENTHOUSE IRVINE, CA 92612 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $22K | — | $22K | 3.78% |
| INTEGRO INSURANCE BROKERS3 Filed as: INTEGRO USA INC. | P.O. BOX 743376 LOS ANGELES, CA 90074 | KAISER FOUNDATION HEALTH PLAN INC. | $4K | — | $4K | 2.17% |
| INTEGRO INSURANCE BROKERS3 | 3620 BIRCH STREET NEWPORT BEACH, CA 92660 | SIMNSA | $11K | — | $11K | 7.00% |
| INTEGRO INSURANCE BROKERS3 | P.O. BOX 101809 PASADENA, CA 91189 | EYEMED VISION CARE | $8K | — | $8K | 8.96% |
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 | 972 | 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) | 972 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,454 | $11.5M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 933 | $791K |
| Vision | EYEMED VISION CARE | 3,000 | $86K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 38 | $588K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 38 | $588K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 38 | $588K |
| Prescription drug(4 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,454 | $11.3M |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 38 | $588K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,000 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.