Filings through .
| Carrier | Coverage | Premium, renewal |
|---|---|---|
Broker: None HMO | HMO | Pro |
Broker: None Stop-loss | Stop-loss | Pro |
Broker: None Life | Life | Pro |
Broker: None Dental | Dental | Pro |
See premium, retention and renewal dates for 4 contracts with Pro.
Pro shows premium, covered lives, retention, contract numbers and the renewal date for each contract. Free for 7 days, no card. Then $49 a month. Cancel any time.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UFCW GROUP ADMIN LLC EIN 26-0448379 SALARIED ADMINISTRATOR | Direct payment from the plan; Plan Administrator Service code 14 | — | $1.1M |
| SEGAL COMPANY EIN 94-1503999 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $241K |
| SLEVIN & HART, P.C. EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | — | $74K |
| BLUE SHEILD EIN 94-0360524 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $59K |
| UFCW LOCAL 5 EIN 20-8028546 NONE | Direct payment from the plan; Other services Service code 49 | — | $24K |
| ELIXIR RX SOLUTIONS EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $18K |
| UFCW LOCAL 8 EIN 94-0801845 NONE | Direct payment from the plan; Other services Service code 49 | — | $17K |
| DELTA DENTAL EIN 94-1461312 | Claims processing; Direct payment from the plan Service code 12 | — | $16K |
| SOLIDARITUS EIN 87-3068107 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $13K |
| EIDE BAILLY EIN 45-0250958 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $11K |
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 | 67 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 67 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | LIBERTY DENTAL PLAN OF CALIFORNIA | 4 | $2K |
| Life insurance | PRUDENTIAL | 61 | $29K |
| Stop-loss / reinsurancereinsurance | QBE INSURNACE | 330 | $320K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 330 | — |
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 plan over $1M. The plan may have no broker or pay a flat fee. Consultant sales target.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan is either richly funded or stuck with a bad rate.
The filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported. Worth a call.
Schedule A changed between filings. The plan moved between insured and self-funded, or contracts were added or removed. The transition window is open.