| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 500 N BRAND BLVD STE 100 ARLINGTON HEIGHTS, CA 60006 | KAISER FOUNDATION HEALTH PLAN INC | $145K | $0 | $145K | 4.33% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 500 N SANTA FE VISALIA, CA 93292 | BLUE SHIELD OF CALIFORNIA | $0 | $86K | $86K | 3.09% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | GBS FINANCE PHOENIX, AZ 85012 | AETNA LIFE INSURANCE COMPANY | $16K | $12K | $28K | 8.06% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | GBS FINANCE SCOTTSDALE, AZ 85260 | AETNA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.44% |
| GALLAGHER BENEFIT SERVICES, INC.3 | NATIONAL INCENTIVE 505 NORTH BRAND BLVD SUITE 100 GLENDALE, CA 91203 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $37K | $0 | $37K | 15.69% |
| GALLAGHER BENEFIT SERVICES, INC.5 Filed as: GALLAGHER BENEFIT SERVICES | 736 S STONE AVE LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $6K | $6K | 2.44% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 505 NORTH BRAND BLVD GLENDALE, CA 91203 | EYEMED VISION CARE | $5K | $0 | $5K | 9.82% |
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 | 660 | 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) | 660 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 444 | $6.1M |
| Dental | AETNA LIFE INSURANCE COMPANY | 881 | $345K |
| Vision | EYEMED VISION CARE | 829 | $53K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 660 | $239K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 660 | $239K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 660 | $239K |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 444 | $6.1M |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 660 | $257K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 881 | — |
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."
No prospect flags tripped on this filing.