No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS ADMINISTRATOR EIN 38-2383171 NONE | Contract Administrator Service code 13 | — | $370K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general) Service code 16 | — | $62K |
| FIRST DENTAL HEALTH EIN 33-0655193 NONE | Other services Service code 49 | — | $44K |
| CARMEL CAPITAL EIN 55-7605669 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $44K |
| LAW OFFICES OF RICHARD PROCHAZKA EIN 95-3722191 NONE | Legal Service code 29 | — | $41K |
| HEALTH MANAGEMENT SYSTEMS EIN 13-2770433 NONE | Other services; Direct payment from the plan Service code 49 | — | $36K |
| HENNINGFIELD & ASSOCIATES EIN 54-2189926 NONE | Accounting (including auditing) Service code 10 | — | $27K |
| CALIFORNIA BANK & TRUST EIN 95-2783330 NONE | Other services; Other fees Service code 49 | — | $10K |
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 | 2,154 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 31 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 2,804 | $23.0M |
| Dental | WESTERN DENTAL SERVICES CO | 982 | $174K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 1,524 | $1.9M |
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 1,805 | $23K |
| Other | UNION LABOR LIFE INSURANCE COMPANY | 1,805 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,804 | — |
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."
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.