Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 27 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 58,787 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7,817 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 66,604 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(15 contracts, 15 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. (SOUTHERN CA) | 2,349 | $41.1M |
| Dental | AETNA LIFE INSURANCE CO. | 152,466 | $61.7M |
| Vision(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY (DAVIS VISION) | 707 | $6K |
| Life insurance(6 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 66,385 | $57.4M |
| Other(3 contracts, 3 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 65,929 | $6.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 152,466 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| GRANTHAM,MAYO,VAN OTTERLOO&CO (GMO) EIN 04-2691242 NONE | Securities brokerage commissions and fees; Investment management; Other commissions; Investment management fees paid directly by plan; Shareholder servicing fees; Investment management fees paid indirectly by plan; Redemption fees Service code 28 | — | $370K |
| ALLIANCE BERNSTEIN LP. EIN 13-4064930 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $207K |
| AON HEWITT INVESTMENT EIN 36-3109431 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $108K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 TRUSTEE | Other services; Direct payment from the plan; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan; Investment management; Custodial (other than securities); Custodial (securities) Service code 18 | — | $107K |
| VERIZON COMMUNICATIONS INC. EIN 23-2259884 EMPLOYER | Plan Administrator; Direct payment from the plan Service code 14 | — | $50K |
| THOMPSON HINE LLP EIN 34-0575300 NONE | Legal; Direct payment from the plan Service code 29 | — | $9K |
| COMPSYCH EIN 35-3739783 NONE | Other insurance fees and expenses; Contract Administrator Service code 13 | — | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
6 contacts
Phone and email for the actuary are on Pro.
11 filings · 2015 to 2025