| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC. Filed as: INSURICA CA INSURANCE SERVICES, INC | — | KAISER FOUNDATION HEALTH PLAN, INC. | $14K | $0 | $14K | 3.78% |
| INSURICA, INC.3 Filed as: INSURICA CA INSURANCE SERVICES, INC | 8500 STOCKDALE HWY STE 200 BAKERSFIELD, CA 93311 | BLUE SHIELD OF CALIFORNIA | $5K | $0 | $5K | 5.00% |
| INSURICA, INC. Filed as: INSURICA CA INSURANCE SERVICES, INC | — | PREMIER ACCESS INSURANCE COMPANY | $3K | $0 | $3K | 9.32% |
| INSURICA, INC.3 Filed as: INSURICA CA INSURANCE SERVICES, INC | — | EYEMED VISION CARE | $804 | $0 | $804 | 9.95% |
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 | 196 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 196 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 59 | $469K |
| Dental | PREMIER ACCESS INSURANCE COMPANY | 105 | $33K |
| Vision | EYEMED VISION CARE | 99 | $8K |
| Other(2 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 18 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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.