No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS OF CALIFORNIA EIN 95-3760980 NONE | Claims processing; Account maintenance fees Service code 12 | — | $191K |
| MHN SERVICES EIN 95-4146179 NONE | Account maintenance fees; Claims processing Service code 12 | — | $59K |
| DELTA DENTAL EIN 94-1461312 NONE | Account maintenance fees; Claims processing Service code 12 | — | $38K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Account maintenance fees; 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 | 876 | 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) | 876 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 694 | $5.6M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 694 | $5.7M |
| Life insurance(2 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 936 | $570K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 924 | $460K |
| Other(5 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLANS INC. | 936 | $2.1M |
| 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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.