No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NAC INSURANCE EIN 77-0057190 ADMINISTRATION | Plan Administrator Service code 14 | 1500 41ST AVENUE., STE. 280 CAPITOLA, CA 95010 | $565K |
| DELTA DENTAL PLAN OF CALIFORNIA EIN 94-1461312 ADMINISTRATION | Contract Administrator Service code 13 | 100 FIRST STREET SAN FRANCISCO, CA 94105 | $341K |
| VSP EIN 94-1632821 ADMINISTRATION | Contract Administrator Service code 13 | 1 EMBARCADERO CTR. 1540 SAN FRANCISCO, CA 94111 | $79K |
| TRUCKER HUSS EIN 94-3216063 ATTORNEY | Legal Service code 29 | ONE EMBARCADERO CENTER 12TH FLOOR SAN FRANCISCO, CA 94111 | $43K |
| MEREDITH CLARK BUSINESS CONSULTANT | Consulting (general) Service code 16 | 5355 ABERDEEN COURT SOQUEL, CA 95073 | $24K |
| EDI SOURCE EIN 34-1704607 ELIGIBILITY REPORTING | Claims processing Service code 12 | 31875 SOLON ROAD SOLON, OH 44139 | $17K |
| JOHN J. TEUTEBERG, CPA AUDITING | Accounting (including auditing) Service code 10 | PO BOX 1539 FREEDOM, CA 950191539 | $14K |
| BETSY JANSEN TRUSTEE (INDIVIDUAL) | Trustee (directed) Service code 25 | 22242 E CANYON PLACE AURORA, CO 80016 | $7K |
| LAURA POCH TRUSTEE (INDIVIDUAL) | Trustee (directed) Service code 25 | 5846 RIDGE PARK DRIVE LOOMIS, CA 95650 | $7K |
| PEARLDIVING LLC EIN 26-2013911 TRUSTEE | Trustee (directed) Service code 25 | 5360 WALNUT STREET OAKLAND, CA 94619 | $6K |
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 | 7,776 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 7,776 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(20 contracts) | DELTA DENTAL PLAN OF CALIFORNIA | 3,397 | $5.0M |
| Vision(2 contracts) | VSP | 3,164 | $657K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,397 | — |
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.