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 pricingBroker compensation exceeds 5% of premium. This is a small-plan minimum fee or a costly broker setup that a competing bid can beat.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: RSC Ins Brokerage Inc LTD | LTD | |
Broker: Selman & Company Life | Life |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 5 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 | 2,317 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,320 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(4 contracts) | NEW YORK LIFE INSURANCE COMPANY | 944 | $253K |
| Long-term disability | STANDARD INSURANCE COMPANY | 2,317 | $430K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,317 | - |
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.
| Broker | Commissions |
|---|---|
Carrier: Standard Insurance Company | |
Carrier: New York Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PROVIDENT SERVICE PROVIDER | Other fees Service code 99 | PO BOX 11588 PITTSBURGH, PA 15238 | $250K |
| CLIFTON LARSON ALLEN LLP EIN 41-0746749 AUDITOR | Accounting (including auditing) Service code 10 | 915 HIGHLAND POINTE DR STE 300 ROSEVILLE, CA 95678 | $119K |
| REDDEN GROUP LLC SERVICE PROVIDER | Other fees Service code 99 | 1775 W STATE ST #225 BOISE, ID 83702 | $63K |
| ADAPT MANAGEMENT CONTRACTOR | Contract Administrator Service code 13 | 1775 W STATE ST #225 BOISE, ID 83702 | $60K |
| CHARLES SCHWAB EIN 94-1737782 INVESTMENT ADVISORY | Investment advisory (plan) Service code 27 | 3000 SCHWAB WAY WESTLAKE, TX 76262 | $54K |
| TOWNSQUARE MEDIA SERVICE PROVIDER | Other fees Service code 99 | 827 E. PARK BLVD SUITE 100 BOISE, ID 83712 | $30K |
| NATIONAL VOLUNTEER FIRE COUNCIL SERVICE PROVIDER | Other fees Service code 99 | 712 H STREET NORTHEAST STE 1478 WASHINGTON, DC 20002 | $12K |
| EMPLOYEE BENEFITS LAW GROUP SERVICE PROVIDER | Legal Service code 29 | 11231 GOLD EXPRESS DRIVE SUITE 108 GOLD RIVER, CA 95670 | $9K |
| MONTEMAYOR BRITTON BENDER BOOKKEEPER | Accounting (including auditing) Service code 10 | 2110 BOCA RATON DR BLDG B STE 102 AUSTIN, TX 78747 | $9K |
| CALIFORNIA FIRE CHEIFS ASSOCIATION SERVICE PROVIDER | Other fees Service code 99 | 808 R ST STE 209 SACRAMENTO, CA 95811 | $7K |
| FIRE DISTRICTS ASSOCIATION OF CA SERVICE PROVIDER | Other fees Service code 99 | 808 R ST STE 209 SACRAMENTO, CA 95811 | $7K |
| UNCORKED CONCEPTS, LLC SERVICE PROVIDER | Other fees Service code 99 | 22774 ISLAMARE LANE LAKE FOREST, CA 92630 | $5K |
| BOUTIN JONES INC SERVICE PROVIDER | Legal Service code 29 | 555 CAPTIAL MALL SUITE 1500 SACRAMENTO, CA 95814 | $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.
2 contacts
11 filings · 2015 to 2025