Filings through .
History & trajectory Charts need 2 or more years. This plan has 9 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.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthHMO | HealthHMO | |
Broker: Stealth Partner Group, LLC Stop-loss | Stop-loss | |
Vision | Vision | |
Life | Life | |
DentalHMO | DentalHMO |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 13 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 | 13,621 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 13,621 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(9 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 6,310 | $149.5M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 0 | $0 |
| Vision | VISION SERVICE PLAN | 8,647 | $738K |
| Life insurance | STANDARD INSURANCE COMPANY | 11,392 | $676K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 4,654 | $3.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 11,392 | - |
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.
| Broker | Commissions |
|---|---|
Carrier: HCC Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX, INC. EIN 33-0441200 NONE | Direct payment from the plan; Claims processing; Other fees; Float revenue Service code 12 | — | $4.8M |
| NORTHWEST ADMINISTRATORS, INC. EIN 91-0680697 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $2.7M |
| ANTHEM BLUE CROSS EIN 95-4331852 NONE | Other services; Claims processing; Direct payment from the plan Service code 12 | — | $1.1M |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Direct payment from the plan; Claims processing; Plan Administrator Service code 12 | — | $330K |
| NATIONAL COMPLIANCE SERVICES EIN 77-0547083 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $305K |
| HMC HEALTHWORKS NONE | Other services; Direct payment from the plan Service code 49 | 140 INTRACOASTAL POINTE DR STE 301 JUPITER, FL 33477 | $280K |
| MILLIMAN EIN 91-0675641 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $221K |
| CHARTWELL INVESTMENT PARTNERS, LLC EIN 36-4776242 NONE | Investment management; Investment management fees paid directly by plan; Named fiduciary Service code 28 | — | $171K |
| DENISE SOLIS TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 1000 MARINA BLVD STE 400 BRISBANE, CA 94005 | $92K |
| WEDGE CAPITAL MANAGEMENT LLP EIN 56-1557450 NONE | Investment management fees paid directly by plan Service code 51 | — | $88K |
| RICHARD J. ROMANSKI EIN 04-1328449 NONE | Legal; Direct payment from the plan Service code 29 | — | $85K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $79K |
| BEESON, TAYER, & BODINE APC EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $75K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432390 NONE | Direct payment from the plan; Consulting (general); Investment advisory (plan) Service code 16 | — | $64K |
| KRAW LAW GROUP EIN 32-0465891 NONE | Legal; Direct payment from the plan Service code 29 | — | $59K |
| TIM BREKKE TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1000 MARINA BLVD STE 400 BRISBANE, CA 94005 | $35K |
| GEORGE HERNANDEZ TRUSTEE | Direct payment from the plan; Trustee (individual) Service code 20 | 1000 MARINA BLVD STE 500 BRISBANE, CA 94005 | $35K |
| THE HOUSE OF PRINTING EIN 95-2234833 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $32K |
| JIM BEARD TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1000 MARINA BLVD STE 400 BRISBANE, CA 94005 | $31K |
| RYAN NAAN TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1000 MARINA BLVD STE 400 BRISBANE, CA 94005 | $28K |
| WEST COAST MAILERS NONE | Other services; Direct payment from the plan Service code 49 | 5630 BORWICK AVE SOUTH GATE, CA 90280 | $28K |
| STEPHEN HORN INSURANCE SERVICES EIN 94-3249244 NONE | Insurance brokerage commissions and fees Service code 53 | — | $16K |
| SERVICE PRINTING CO EIN 91-0839372 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $16K |
| US BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $13K |
| IRON MOUNTAIN EIN 23-2588479 NONE | Direct payment from the plan Service code 50 | — | $11K |
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.
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9 filings · 2016 to 2025