No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA DENTAL EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $69K |
| ALICE MARSHALL EMPLOYEE | Employee (plan) Service code 30 | 2525 CLEVELAND AVE STE C SANTA ROSA, CA 95403 | $58K |
| SARAH MILLER EMPLOYEE | Employee (plan) Service code 30 | 2525 CLEVELAND AVE STE C SANTA ROSA, CA 95403 | $46K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general) Service code 16 | — | $43K |
| VAVRINEK, TRINE, DAY & CO., LLP EIN 95-2648289 NONE | Accounting (including auditing) Service code 10 | — | $24K |
| DODGE & COX EIN 94-1441976 NONE | Investment management Service code 28 | — | $23K |
| SALTZMAN & JOHNSON LAW CORPORATION EIN 94-2376174 NONE | Legal Service code 29 | — | $16K |
| IBEW LOCAL 551 EIN 94-1104872 PARTY IN INTEREST | Direct payment from the plan Service code 50 | — | $14K |
| TRUCKER HUSS, APC EIN 94-3216063 NONE | Legal Service code 29 | — | $13K |
| COMPLIANCE AUDIT SERVICES EIN 94-3134229 NONE | Accounting (including auditing) Service code 10 | — | $7K |
| EXCHANGE BANK EIN 68-6031040 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $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 | 469 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 79 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 548 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER PERMANENTE FOUNDATION HEALTH | 972 | $9.3M |
| Vision | VISION SERVICE PLAN | 556 | $45K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE CO | 469 | $6K |
| Other | UNITED OF OMAHA LIFE INSURANCE CO | 469 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 972 | — |
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.