Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
The primary carrier changed from the prior filing. The plan has shown it will move. Pitch it again on the next cycle.
Broker 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.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
Multiple-employer welfare arrangement. It has its own regulatory and compliance rules.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Health | Health | |
Health | Health | |
Vision | Vision | |
LifeOther | LifeOther | |
HealthDentalHMO | HealthDentalHMO | |
DentalHMOPPO | DentalHMOPPO |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 8 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 | 1,525 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 7 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,539 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 1,906 | $15.5M |
| Dental(3 contracts, 3 carriers) | SIMNSA | 0 | $0 |
| Vision(2 contracts) | EYEMED | 1,675 | $89K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,034 | $31K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 1,034 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,906 | - |
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.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| POLYCOMP ADMINISTRATIVE SERVICES NONE | Plan Administrator; Direct payment from the plan Service code 14 | 404 CAMINO DEL RIO S, SUITE 608 SAN DIEGO, CA 92108 | $1.2M |
| WOLDS VANDERWAL PC NONE | Direct payment from the plan; Shareholder servicing fees Service code 50 | 4747 EXECUTIVE DR. SUITE 250 SAN DIEGO, CA 92121 | $130K |
| WEST COAST GROUP BENEFITS NONE | Direct payment from the plan; Insurance agents and brokers Service code 22 | 10809 THORNMINT ROAD, SUITE A SAN DIEGO, CA 92127 | $129K |
| CLIFTONLARSONALLEN LLP EIN 41-0746749 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 915 HIGHLAND POINTE DRIVE, STE 300 ROSEVILLE, CA 95678 | $42K |
| ABC SAN DIEGO CHAPTER SPONSOR | Accounting (including auditing); Direct payment from the plan Service code 10 | 9201 SPECTRUM CENTER BLVD SUITE 110 SAN DIEGO, CA 92123 | $16K |
| CLELLAND & COMPANY NONE | Direct payment from the plan; Investment management Service code 28 | 5151 SHOREHAM PLACE, SUITE 130 SAN DIEGO, CA 92122 | $10K |
| WELLS FARGO EIN 94-1347393 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $7K |
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.
2 contacts
10 filings · 2016 to 2025