No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NAC INSURANCE EIN 77-0057190 ADMINISTRATION | Plan Administrator Service code 14 | 1500 41ST AVE., STE. 280 CAPITOLA, CA 95010 | $668K |
| DELTA DENTAL PLAN OF CALIFORNIA EIN 94-1461312 ADMINISTRATION | Contract Administrator Service code 13 | 100 FIRST STREET SAN FRANCISCO, CA 94105 | $369K |
| VSP EIN 94-1632821 ADMINISTRATION | Contract Administrator Service code 13 | 1 EMBARCADERO CTR. 1540 SAN FRANCISCO, CA 94111 | $70K |
| CALIF. ASSOCIATION OF NONPROFITS EIN 77-0045382 SPONSOR | Other fees Service code 99 | 1500 41ST AVE., STE. 280 CAPITOLA, CA 95010 | $20K |
| JOHN J. TEUTEBERG EIN 77-0142495 AUDITING | Accounting (including auditing) Service code 10 | 36 B ASPEN WAY WATSONVILLE, CA 95076 | $13K |
| BETSY JANSEN TRUSTEE (INDIVIDUAL) | Trustee (directed) Service code 25 | — | $7K |
| LAURA POCH TRUSTEE (INDIVIDUAL) | Trustee (directed) Service code 25 | — | $7K |
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 | 12,887 | 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) | 12,887 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(5 contracts) | DELTA DENTAL PLAN OF CALIFORNIA | 4,802 | $4.8M |
| Vision | VSP | 4,777 | $572K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,802 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.