No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CONNECTICUT GENERAL LIFE INS CO EIN 06-0303370 NONE | Named fiduciary; Contract Administrator; Direct payment from the plan; Float revenue; Non-monetary compensation; Claims processing; Participant communication; Other services Service code 12 | — | $13.6M |
| OPTUMRX EIN 33-0441200 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $956K |
| PRUDENTIAL TRUST COMPANY EIN 81-6689864 TRUSTEE/ AFFILIATE | Other investment fees and expenses; Direct payment from the plan; Investment management; Investment management fees paid directly by plan Service code 28 | — | $436K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $36K |
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 | 18,655 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22,259 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 40,914 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN REGION CA | 146 | $2.6M |
| Dental(2 contracts) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 8,918 | $3.2M |
| Vision | HM LIFE INSURANCE COMPANY | 25,158 | $3.8M |
| Life insurance(5 contracts) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 23,541 | $59.4M |
| Short-term disability | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 18,536 | $21.5M |
| Long-term disability(3 contracts) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 18,536 | $26.7M |
| Prescription drug(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN REGION CA | 146 | $2.6M |
| Other(5 contracts, 3 carriers) | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 18,655 | $14.5M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 25,158 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.