No insurance carriers on this filing. Self-funded welfare plans typically pay TPAs and PBMs through Schedule C, not Schedule A.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SIDEMAN & BANCROFT LLP EIN 94-3254966 N/A | Legal Service code 29 | ONE EMBARCADERO CENTER, 22ND FLOOR SAN FRANCISCO, CA 94111 | $998K |
| MESSING ADAM & JASMINE LLP EIN 47-3433162 N/A | Legal Service code 29 | 980 9TH STREET, SUITE 380 SACRAMENTO, CA 95814 | $113K |
| RAINS LUCIA & STERN EIN 94-3328672 N/A | Legal Service code 29 | 2300 CONTRA COSTA BLVD. 500 PLEASANT HILL, CA 94523 | $80K |
| LEONI LAW EIN 81-4911412 N/A | Legal Service code 29 | 2950 BUSKIRK AVE STE. 300 WALNUT CREEK, CA 94597 | $41K |
| DAVID A WEINBERG EIN 46-2192900 N/A | Legal Service code 29 | 35 MILLER AVE. 117 MILL VALLEY, CA 94941 | $17K |
| DSI CONSULTING, LLC EIN 47-1560767 N/A | Consulting (general) Service code 16 | 727 INDUSTRIAL RD. SUITE 102 SAN CARLOS, CA 94070 | $13K |
| STIGLITZ DISPUTE RESOLUTION, INC. EIN 83-0528515 N/A | Legal Service code 29 | 14462 GARDEN TRAIL SAN DIEGO, CA 92127 | $9K |
| DR ASSOCIATES INTERNATIONAL EIN 32-5468155 N/A | Consulting (general) Service code 16 | P.O. BOX 2399 DAVIS, CA 95617 | $8K |
| CANINE TACTICAL OPERATIONS EIN 45-2693221 N/A | Consulting (general) Service code 16 | P.O. BOX 1682 MABANK, TX 75147 | $6K |
| KATHERINE L. WAKI EIN 56-2150397 N/A | Legal Service code 29 | 7 WATER BAY COURT SACRAMENTO, CA 95831 | $5K |
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 | 1,033 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,033 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
No prospect flags tripped on this filing.