No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| DELTA FUND ADMINISTRATORS, LLC EIN 45-2636626 NONE | Contract Administrator; Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $358K |
| ANTHEM BLUE CROSS LIFE & HEALTH INS EIN 95-4331852 NONE | Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing; Float revenue Service code 12 | — | $120K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing) Service code 10 | — | $69K |
| KRAW LAW GROUP EIN 32-0465891 NONE | Legal Service code 29 | — | $62K |
| HUB INTERNATIONAL EIN 33-0315047 NONE | Consulting (general) Service code 16 | — | $40K |
| UNITED CONCORDIA COMPANIES, INC. EIN 25-1687586 NONE | Insurance services; Claims processing Service code 12 | — | $37K |
| UNITED ADMINISTRATIVE SERVICES EIN 94-1749354 NONE | Contract Administrator; Accounting (including auditing) Service code 10 | — | $22K |
| US BANK, NA EIN 31-0841368 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $15K |
| MZQ CONSULTING, LLC EIN 38-4010278 NONE | Consulting (general) Service code 16 | — | $14K |
| DELTA HEALTH SYSTEMS EIN 95-2353289 NONE | Claims processing Service code 12 | — | $13K |
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 | 678 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 157 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 835 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 936 | $6.4M |
| Dental | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | 284 | $53K |
| Vision | VISION SERVICE PLAN | 751 | $124K |
| Life insurance | SYMETRA LIFE INSURANCE COMPANY | 829 | $36K |
| Stop-loss / reinsurancereinsurance | BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY | 483 | $467K |
| Other | SYMETRA LIFE INSURANCE COMPANY | 829 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 936 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.