Plan Ledger DOL Form 5500 · updated monthly

Green Dot Public Schools Nationalbenefits

Green Dot Public Schools National Health and Welfare Plan · LOS ANGELES, CA · plan year 2023

Broker compensation reported · 2023
$536,305

Green Dot Public Schools National's benefits plan covered 0 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · death benefits · other. Insurance brokers and agents were paid $536,305 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage.

Insurance contracts · 202314
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY · health drug vision hmo ppopremiums n/a · 1,229 covered
KAISER FOUNDATION HEALTH PLAN, INC. · health drug hmopremiums n/a · 654 covered
SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION · dentalpremiums n/a · 1,004 covered
METROPOLITAN LIFE INSURANCE COMPANY · dentalpremiums n/a · 856 covered
AETNA LIFE INSURANCE COMPANY · health drug dentalpremiums n/a · 337 covered
AETNA HEALTH, INC. · health drug hmopremiums n/a · 191 covered
VISION SERVICE PLAN · visionpremiums n/a · 1,185 covered
LINCOLN NATIONAL LIFE INSURANCE COMPANY · stdpremiums n/a · 1,291 covered
LINCOLN NATIONAL LIFE INSURANCE COMPANY · ltdpremiums n/a · 1,291 covered
LINCOLN NATIONAL LIFE INSURANCE COMPANY · lifepremiums n/a · 1,291 covered
AFLAC · healthpremiums n/a · 77 covered
SAFEGUARD HEALTH PLANS, INC. A TEXAS CORPORATION · dentalpremiums n/a · 15 covered
HEALTH AND HUMAN RESOURCE CENTER, INC.premiums n/a · 1,034 covered
AETNA BEHAVIORAL HEALTH, LLCpremiums n/a · 278 covered
Brokers & agents paid · 20237
MERCER HEALTH AND BENEFITS, LLC$517,319 · incl $22,294 fees
JACOB BURNS INC.$7,097
KATRINA LAFATA AND OTHER AGENTS$5,472 · incl $33 fees
JACOB M BURNS$2,973
MICHAEL R FISHER$1,377
ELDRIDGE DENNIS MOORE$1,121
Individual agent · names withheld$946

Individual agents paid under $1,000 on this filing are shown as a total. The amounts are as filed; only the personal names are withheld.

Also brokered by Mercer5
7-ELEVEN, Inc TX$4,238,609

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 465740783 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.