Filings through .
History & trajectory Charts need 2 or more years. This plan has 7 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker 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.
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 | |
Rx | Rx | |
Stop-loss | Stop-loss | |
Vision | Vision | |
Broker: Dickerson Employee Benefits Life | Life | |
Dental | Dental | |
Dental | Dental |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 10 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 | 1,195 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 22 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,217 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 512 | $5.8M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 1,105 | $46K |
| Vision | VISION SERVICE PLAN | 682 | $128K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 874 | $47K |
| Prescription drug | OPTUM RX INC. | 0 | $1.5M |
| Stop-loss / reinsurancereinsurance | INDEPENDENCE LIFE AND ANNUITY COMPANY | 0 | $838K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,105 | - |
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.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT & RISK MANAGEMENT EIN 68-0306908 THIRD PARTY ADMINISTRATOR | Contract Administrator Service code 13 | 80 IRON POINT CIRCLE FOLSOM, CA 95630 | $183K |
| DICKERSON EMPLOYEE BENEFITS EIN 20-4609434 BROKER & CONSULTANT | Insurance agents and brokers Service code 22 | 333 N. GLENOAKS BLVD, SUITE 410 BURBANK, CA 91502 | $144K |
| ANTHEM BLUE CROSS LIFE & HEALTH INS EIN 95-4331852 INSURANCE COMPANY | Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Claims processing Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $138K |
| PAYCHEX EIN 16-1124166 PAYROLL SERVICES | Contract Administrator Service code 13 | 50 IRON POINT RD SUITE 200 FOLSOM, CA 95630 | $34K |
| LAW OFFICE OF DAVID F. CRUTCHER EIN 20-3194050 LEGAL | Legal Service code 29 | 851 IRWIN STREET, SUITE 221 SAN RAFAEL, CA 94901 | $30K |
| FERN EXPOSITION SERVICES LLC EIN 87-0750830 MARKETING | Other services Service code 49 | 645 LINN STREET CINCINNATI, OH 45203 | $25K |
| CA CHARTER SCHOOLS CONFERENCE EIN 51-0465703 MARKETING | Other services Service code 49 | 1277 UNIVERSITY OF OREGON EUGENE, OR 97403 | $22K |
| BRANCHE JONES EIN 57-3276370 CONSULTANT | Consulting (general) Service code 16 | 1127 11TH ST., STE 321 SACRAMENTO, CA 95814 | $21K |
| CHARTER SCHOOLS DEVELOPMENT CENTER EIN 87-1070577 MARKETING | Other services Service code 49 | 817 14TH STREET SACRAMENTO, CA 95814 | $20K |
| SINGERLEWAK LLP EIN 95-2302617 TAX AND AUDIT | Accounting (including auditing) Service code 10 | 10960 WILSHIRE BLVD., SUITE 1100 LOS ANGELES, CA 90024 | $18K |
| EXTRA SPACE MANAGEMENT INC EIN 87-0405300 STORAGE | Other fees Service code 99 | 3800 BAYOU WAY SACRAMENTO, CA 95835 | $12K |
| TEAGUE INSURANCE AGENCY, INC EIN 95-3063524 INSURANCE COMPANY | Insurance agents and brokers Service code 22 | 7777 ALVARADO RD. SUITE 515 LA MESA, CA 91942 | $11K |
| ALCALA CONSULTING, INC. EIN 91-1947256 CONSULTANT | Consulting (general) Service code 16 | PO BOX 845724 LOS ANGELES, CA 90084 | $9K |
| TRICORD TRADESHOW SERVICES EIN 77-0495477 MERCHANT | Other fees Service code 99 | 738 NEESON ROAD MARINA, CA 93933 | $8K |
| AIRWAYS FREIGHT CORPORATION EIN 71-0542327 MERCHANT | Other fees Service code 99 | PO BOX 1888 FAYETTEVILLE, AR 72701 | $5K |
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.
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7 filings · 2019 to 2025