No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CNIS EIN 77-0057190 ADMINISTRATION | Plan Administrator Service code 14 | 1500 41ST AVENUE., STE. 228 CAPITOLA, CA 95010 | $1.2M |
| CAMPBELL TAYLOR WASHBURN EIN 68-0251243 AUDITING | Accounting (including auditing) Service code 10 | 3741 DOUGLAS BLVD STE 350 ROSEVILLE, CA 95661 | $28K |
| TRUCKER HUSS EIN 94-3216063 ATTORNEY | Legal Service code 29 | ONE EMBARCADERO CENTER 12TH FLOOR SAN FRANCISCO, CA 94111 | $8K |
| LAURA POCH TRUSTEE (INDIVIDUAL) | Trustee (directed) Service code 25 | 5846 RIDGE PARK DRIVE LOOMIS, CA 95650 | $8K |
| ROBERT SALVADOR PASCUAL TRUSTEE (INDIVIDUAL) | Trustee (directed) Service code 25 | — | $7K |
| TONY DUONG TRUSTEE (INDIVIDUAL) | Trustee (directed) Service code 25 | 2800 ORTEGA STREET SAN FRANCISCO, CA 94122 | $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 | 12,439 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 116 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 12,555 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(8 contracts, 3 carriers) | DELTA DENTAL PLAN OF CALIFORNIA | 4,488 | $5.5M |
| Vision | VSP | 6,715 | $848K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,715 | — |
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.