| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES, INC. | 2300 CONTRA COSTA BLVD STE 600 PLEASANT HILL, CA 945233979 | KAISER FOUNDATION HEALTH PLAN, INC. | $57K | — | $57K | 3.66% |
| FULLERTON INSURANCE SERVICES I3 Filed as: FULLERTON INSURANCE SERVICE, INC | 1009 S PLACENTIA AVE FULLERTON, CA 92831 | BLUE SHIELD OF CALIFORNIA | — | $26K | $26K | 3.45% |
| AMWINS3 Filed as: AMWINS CONNECT INSURANCE SERVICES, | LLC 1600 W HILLSDALE BLVD SUITE 201 SAN MATEO, CA 94402 | BLUE SHIELD OF CALIFORNIA | $14K | — | $14K | 1.91% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES, INC | 2300 CONTRA COSTA BLVD STE 600 PLEASANT HILL, CA 94523 | BLUE SHIELD OF CALIFORNIA | — | $3K | $3K | 0.36% |
| NFP INSURANCE SERVICES INC3 Filed as: NFP CA INSURANCE SERVICES INC | 2300 CONTRA COSTA BLVD STE 600 PLEASANT HILL, CA 945233979 | PRINCIPAL LIFE INSURANCE COMPANY | $25K | $10K | $35K | 14.61% |
| AMWINS3 Filed as: AMWINS CONNECT | INSURANCE SERVICES, LLC 2 ENTERPRISE DR STE 204 SHELTON, CT 064844657 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | — | $11K | 4.65% |
| AMWINS3 Filed as: AMWINS GROUP BENEFITS, INC | 2 ENTERPRISE DR STE 204 SHELTON, CT 064844657 | PRINCIPAL LIFE INSURANCE COMPANY | — | $9K | $9K | 3.83% |
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 | 268 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 5 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 275 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 233 | $2.3M |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 436 | $239K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 436 | $239K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 436 | $239K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 436 | $239K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 436 | $239K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 140 | $759K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 436 | $239K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 436 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.