No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS JAA FEES-PPO NET EIN 95-4331852 ADMINISTRATION | Claims processing Service code 12 | — | $549K |
| DELTA HEALTH SYSTEMS EIN 94-2353289 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $444K |
| REGENCE BLUE CROSS/BLUE SHIELD EIN 93-0238155 CLAIMS PROCESSING SERVI | Claims processing; Sub-transfer agency fees; Direct payment from the plan Service code 12 | — | $60K |
| RELIANCE STANDARD LIFE INSURANCE EIN 36-0883760 NONE | Claims processing Service code 12 | — | $40K |
| DELTA HEALTH SYSTEMS-DM FSA EIN 94-2353289 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $33K |
| VISION SERVICE PLAN EIN 94-1632821 ADMINISTRATION | Claims processing Service code 12 | — | $22K |
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 | 2,198 | 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) | 2,198 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 160 | $1.0M |
| Dental | REGENCE BLUE CROSS BLUE SHIELD OF OREGON | 887 | $0 |
| Vision | VISION SERVICE PLAN | 2,160 | $223K |
| Life insurance | STANDARD INSURANCE COMPANY | 2,198 | $155K |
| Short-term disability | STANDARD INSURANCE COMPANY | 2,173 | $212K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,173 | $66K |
| Prescription drug | KAISER FOUNDATION HEALTH PLAN, INC. | 160 | $1.0M |
| Stop-loss / reinsurancereinsurance | AMERICAN ALTERNATIVE INSURANCE CORPORATION | 2,048 | $1.0M |
| Other | STANDARD INSURANCE COMPANY | 5 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,198 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.