| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| RAJA VELUSWAMY3 | 47 PRIMROSE CIR PRINCETON, NJ 08540 | KAISER FOUNDATION HEALTH PLAN INC.- CA | $11K | — | $11K | 3.52% |
| JOHN ALBA3 | 23 PACIFIC AVENUE NORTH MIDDLETOWN, NJ 07748 | KAISER FOUNDATION HEALTH PLAN INC.- CA | $3K | — | $3K | 0.81% |
| RICAEDIA LLC4 Filed as: RICAEDIA, LLC | 47 PRIMROSE CIRCLE PRINCETON, NJ 08540 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $41K | — | $41K | 14.79% |
| MARGARET JOHNSTON4 | 710 LYNDHURST STREET-UNIT 203 DUNEDIN, FL 34698 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $400 | — | $400 | 0.14% |
| FRANCISCO J SUAREZ4 | 2303 SHEFFIELD SQ CARROLLTON, TN 75007 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $80 | — | $80 | 0.03% |
| KRISTY GILLMANN4 | 2325 HURST DR NE ATLANTA, GA 30305 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $43 | — | $43 | 0.02% |
| ANTHONY TEEGARDEN4 | 6608 S WEST SHORE BLVD-APT 1104 TAMPA, FL 33616 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $29 | — | $29 | 0.01% |
| SCHILLER & ASSOCIATES LLC4 | 173 COTTAGE LN MILFORD, MI 48381 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $22 | — | $22 | 0.01% |
| JAN TINDER ENTERPRISES INC4 | 6943 COHASSET CIRCLE RIVERVIEW, FL 33578 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $22 | — | $22 | 0.01% |
| RICAEDIA LLC3 Filed as: RICAEDIA, LLC | 47 PRIMROSE CIRCLE STE 200 PRINCETON, NJ 08540 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $23K | — | $23K | 15.00% |
| RICAEDIA LLC3 | 47 PRIMROSE CIRCLE STE 200 PRINCETON, NJ 08540 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $20K | — | $20K | 15.00% |
| RICAEDIA LLC3 Filed as: RICAEDIA, LLC | 47 PRIMROSE CIRCLE STE 200 PRINCETON, NJ 08540 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $20K | — | $20K | 15.00% |
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 | 12,808 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 197 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 13,005 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC.- CA | 48 | $326K |
| Dental | KAISER FOUNDATION HEALTH PLAN INC.- CA | 48 | $323K |
| Vision(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC.- CA | 426 | $356K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 17,060 | $1.8M |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 11,935 | $2.0M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 8,411 | $2.5M |
| Other(6 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 14,829 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 17,060 | — |
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.