| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP, LLC | 18700 N HAYDEN RD STE 405 SCOTTSDALE, AZ 85255 | HCC LIFE INSURANCE COMPANY | $187K | — | $187K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX, INC. EIN 33-0441200 NONE | Direct payment from the plan; Other fees; Float revenue; Claims processing 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 | Plan Administrator; Claims processing; Direct payment from the plan 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 fees paid directly by plan; Investment management; Named fiduciary Service code 28 | — | $171K |
| DENISE SOLIS TRUSTEE | Trustee (individual); Direct payment from the plan 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 | Consulting (general); Investment advisory (plan); Direct payment from the 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 | Direct payment from the plan; Trustee (individual) Service code 20 | 1000 MARINA BLVD STE 400 BRISBANE, CA 94005 | $35K |
| GEORGE HERNANDEZ TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | 1000 MARINA BLVD STE 500 BRISBANE, CA 94005 | $35K |
| THE HOUSE OF PRINTING EIN 95-2234833 NONE | Direct payment from the plan; Copying and duplicating 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 | Direct payment from the plan; Other services 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 |
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 | 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/separated + beneficiaries. No dependents. |
| 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 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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.