No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE EIN 11-3283886 NONE | Claims processing Service code 12 | — | $14.6M |
| KAISER FOUNDATION HEALTH PLAN INC EIN 94-1340523 NONE | Claims processing Service code 12 | — | $1.5M |
| MERCER HR SERVICES LLC EIN 20-1932099 NONE | Contract Administrator Service code 13 | — | $1.0M |
| HEWITT ASSOCIATES EIN 36-2235791 NONE | Consulting (general) Service code 16 | — | $153K |
| AETNA EIN 13-3670795 NONE | Claims processing Service code 12 | — | $51K |
| MCMC LLC EIN 14-1847542 NONE | Consulting (general) Service code 16 | — | $7K |
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 | 17,482 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,996 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 201 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 20,679 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 38 | $323K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 38 | — |
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.