| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONE | — | BLUE SHIELD OF CALIFORNIA | — | — | $0 | 0.00% |
| NONE | — | KAISER FOUNDATION HEALTH PLAN | — | — | $0 | 0.00% |
| NONE | — | TOKIO MARINE HCC STOP LOSS GROUP | — | — | $0 | 0.00% |
| NONE | — | AETNA | — | — | $0 | 0.00% |
| NONE | — | VISION SERVICE PLAN | — | — | $0 | 0.00% |
| NONE | — | MES VISION | — | — | $0 | 0.00% |
| NONE | — | MANAGED HEALTH NETWORK | — | — | $0 | 0.00% |
| NONE | — | MHN SERVICES | — | — | $0 | 0.00% |
| NONE | — | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORCORAN ADMINISTRATORS NONE | Copying and duplicating; Contract Administrator; Direct payment from the plan Service code 13 | 3313 VINCENT ROAD, SUITE 216 PLEASANT HILL, CA 94523 | $416K |
| RAEL AND LETSON EIN 94-1701048 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $168K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $42K |
| US BANK NONE | Custodial (securities) Service code 19 | 80 S 8TH STREET, SUITE 224 MINNEAPOLIS, MN 55402 | $34K |
| UNION BANK EIN 94-0304288 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $25K |
| GILBERT & SACKMAN EIN 95-2906951 NONE | Legal Service code 29 | — | $25K |
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 | 1,031 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 439 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,470 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUE SHIELD OF CALIFORNIA | 2,196 | $19.8M |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 1,710 | $0 |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 901 | $264K |
| Life insurance | AETNA | 1,812 | $155K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 1,070 | $10.1M |
| Other(2 contracts, 2 carriers) | TOKIO MARINE HCC STOP LOSS GROUP | 1,812 | $506K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,196 | — |
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.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.