Plan Ledger DOL Form 5500 · updated monthly

Skillz Inc.benefits

Skillz Inc. Employee Health and Welfare Benefits Plan · LAS VEGAS, NV · plan year 2023

Broker compensation reported · 2023
$152,030

Skillz Inc.'s benefits plan covered 84 active participants in 2023, providing health · life · dental · vision · short-term disability · long-term disability · other. Insurance brokers and agents were paid $152,030 in commissions and fees, costs that ultimately come out of what the employer and employees pay for coverage. That is $1,810 per covered person, in the top 10% of employer plans that report broker pay.

Insurance contracts · 20236
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE CO. · lifepremiums n/a · 100 covered
KAISER FOUNDATION HEALTH PLAN INC · health drug hmopremiums n/a · 27 covered
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA · dental vision life std ltdpremiums n/a · 170 covered
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST · health drug hmopremiums n/a · 2 covered
BLUE CROSS OF CALIFORNIA · health hmo ppopremiums n/a · 238 covered
KAISER FOUNDATION HEALTH PLAN INC · health drug hmopremiums n/a · 14 covered
Brokers & agents paid · 20233
SEQUOIA BENEFITS & INS SVCS LLC$61,451 · incl $21,556 fees
SEQUOIA BENEFITS & INS. SERVICES$90,538 · incl $1,685 fees
Individual agent · names withheld$41

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 Sequoia Benefits & Ins Svcs LLC5
Sequoia One Peo, LLC AZ$35,439,856
Celonis, Inc. NY$861,266
Brex, Inc. CA$852,556

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Source: DOL Form 5500 Schedule A, plan year 2023, EIN 462682070 · Verify on EFAST2 · Amounts are as reported by the plan sponsor.