| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INTERREMEDY INSURANCE SERVICES3 Filed as: INTERREMEDY INSURANCE SERVICES LLC | 315 MONTGOMERY ST SAN FRANCISCO, CA 94104 | BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY | $32K | — | $32K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PACIFIC SOUTHWEST ADMINISTRATORS EIN 46-4942970 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $257K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $180K |
| ANTHEM BLUE CROSS LIFE & INS. CO. EIN 95-4331852 NONE | Direct payment from the plan; Other fees Service code 50 | — | $104K |
| OXFORD INSURANCE MANAGEMENT EIN 95-1997338 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $45K |
| R.V. KUHNS INVESTMENT CONSULTING EIN 93-0910652 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $28K |
| COHEN, WEISS AND SIMON LLP EIN 13-1592323 NONE | Legal; Direct payment from the plan Service code 29 | — | $23K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $20K |
| ALSWEET ASSOCIATES EIN 95-2766134 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $19K |
| ROTHNER, SEGALL & GREENSTONE EIN 95-4364982 NONE | Legal; Direct payment from the plan Service code 29 | — | $16K |
| US BANK EIN 31-0841368 NONE | Direct payment from the plan; Custodial (securities); Other services Service code 19 | — | $15K |
| RONALD DEAN EIN 95-3879152 NONE | Legal; Direct payment from the plan Service code 29 | — | $14K |
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 | 1,109 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 57 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,166 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 1,818 | $12.8M |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 0 | $62K |
| Stop-loss / reinsurancereinsurance | BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY | 2 | $642K |
| Other(2 contracts, 2 carriers) | CLAREMONT BEHAVIORAL SERVICES, INC. | 1,141 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,818 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.