| Provider | Services | Address | Compensation |
|---|---|---|---|
| SO CA PIPE TRADES ADMIN CORP EIN 95-4557526 RELATED-PARTY | Direct payment from the plan; Plan Administrator Service code 14 | — | $887K |
| BLUE SHEILD OF CALIFORNIA EIN 94-0360524 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $592K |
| NATIONAL INVESTMENT SERVICES EIN 80-0169636 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $103K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $55K |
| MILLER KAPLAN ARASE & CO. EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $44K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $37K |
| COUNCIL FOR AFFORDABLE QUALITY HC NONE | Consulting (general); Direct payment from the plan Service code 16 | 2020 K STREET NW SUITE 900 WASHINGTON, DC 20006 | $16K |
| WITHIUMSMITH+BROWN, PC NONE | Direct payment from the plan; Consulting (general) Service code 16 | 200 JEFFERSON PARK WHIPPANY, NJ 07891 | $12K |
| BUSH GOTTLIEB EIN 95-2956616 NONE | Legal; Direct payment from the plan Service code 29 | — | $9K |
| US BANK EIN 31-0841368 NONE | Custodial (other than securities); Float revenue Service code 18 | — | $9K |
| O'DONOGHUE & O'DONOGHUE EIN 53-0120518 NONE | Legal; Direct payment from the plan Service code 29 | — | $7K |
| NEW ENGLAND PENSION CONSULTANTS EIN 04-2927339 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $7K |
| SEGAL CONSULTING EIN 94-1503999 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $6K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,995 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,995 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 1,351 | $297K |
| Vision | VISION SERVICE PLAN | 836 | $72K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,351 | — |
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."
No prospect flags tripped on this filing.