No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ASSOCIATED THIRD PARTY ADMIN EIN 94-3187938 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $2.2M |
| ANTHEM BLUE CROSS EIN 13-5656874 NONE | Other services Service code 49 | — | $524K |
| SALTZMAN & JOHNSON EIN 94-2376174 NONE | Legal Service code 29 | — | $391K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing) Service code 10 | — | $350K |
| DELTA DENTAL EIN 94-1461312 NONE | Claims processing Service code 12 | — | $327K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general) Service code 16 | — | $228K |
| WELLDYNE EIN 84-1515837 NONE | Claims processing Service code 12 | — | $182K |
| HEALTH MANAGEMENT SYSTEMS EIN 13-2770433 NONE | Consulting (general) Service code 16 | — | $71K |
| PACIFIC HEALTH ALLIANCE EIN 94-3010573 NONE | Other services Service code 49 | — | $68K |
| MORGAN STANLEY WEALTH MANAGEMENT EIN 26-4310844 NONE | Custodial (securities); Direct payment from the plan; Investment advisory (plan) Service code 19 | — | $56K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing; Insurance services Service code 12 | — | $53K |
| FREMONT BANK EIN 94-1569025 NONE | Custodial (other than securities) Service code 18 | — | $16K |
| AABCO WESTERN PRESS EIN 94-1553665 NONE | Copying and duplicating Service code 36 | — | $15K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Other services Service code 49 | — | $14K |
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 | 5,719 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,074 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 6,793 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 9,973 | $43.6M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 1,155 | $426K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 2,725 | $569K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,973 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.