| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN INC | $27K | — | $27K | 5.43% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | KAISER FOUNDATION HEALTH PLAN INC | $11K | — | $11K | 5.10% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | BLUE CROSS OF CALIFORNIA | $13K | — | $13K | 7.64% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $582 | $8K | 15.32% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN | 721 S PARKER STREET, SUITE 200 ORANGE, CA 92868 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | $166 | $3K | 5.97% |
| JAMES NELSON3 | 11895 EGHAM CIRCLE GARDEN GROVE, CA 92840 | METROPOLITAN LIFE INSURANCE COMPANY | $682 | — | $682 | 1.23% |
| CORROON & BLACK CALIFORNIA3 | 2000 S COLORADO BLVD, STE 900 DENVER, CO 80222 | PRINCIPAL LIFE INSURANCE COMPANY | $5K | — | $5K | 9.79% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SVCS OF CA INC. | 2010 MAIN STREET, SUITE 1050 IRVINE, CA 92614 | SAFEGUARD HEALTH PLANS, INC. | $5K | $136 | $5K | 38.80% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WORD & BROWN | 721 S PARKER STREET, SUITE 200 ORANGE, CA 92868 | SAFEGUARD HEALTH PLANS, INC. | $942 | $64 | $1K | 7.60% |
| JAMES NELSON3 | 11895 EGHAM CIRCLE GARDEN GROVE, CA 92840 | SAFEGUARD HEALTH PLANS, INC. | $366 | — | $366 | 2.77% |
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 | 172 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 174 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 54 | $885K |
| Dental(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 183 | $70K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 106 | $48K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 106 | $48K |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 54 | $885K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 106 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 183 | — |
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.