No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS ADMINISTRATOR EIN 38-2383171 NONE | Plan Administrator; Accounting (including auditing); Claims processing Service code 10 | — | $403K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general) Service code 16 | — | $66K |
| CARMEL CAPITAL EIN 55-7605669 NONE | Investment management; Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $51K |
| FIRST DENTAL HEALTH EIN 33-0655193 NONE | Other services Service code 49 | — | $38K |
| HENNINGFIELD & ASSOCIATES EIN 54-2189926 NONE | Accounting (including auditing) Service code 10 | — | $29K |
| LAW OFFICES OF RICHARD PROCHAZKA EIN 95-3722191 NONE | Legal Service code 29 | — | $25K |
| CALIFORNIA BANK & TRUST EIN 95-2783330 NONE | Other services; Other fees Service code 49 | — | $19K |
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 | 1,925 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 31 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,956 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 2,185 | $20.2M |
| Dental | WESTERN DENTAL SERVICES CO | 297 | $124K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 1,386 | $214K |
| Life insurance | UNION LABOR LIFE INSURANCE COMPANY | 1,790 | $17K |
| Prescription drug | SHARP HEALTH PLAN | 1,059 | $5.4M |
| Other | UNION LABOR LIFE INSURANCE COMPANY | 1,790 | $17K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,185 | — |
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.