No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 NONE | Direct payment from the plan; Contract Administrator; Copying and duplicating Service code 13 | — | $985K |
| CALIFORNIA PHYSICIANS' SERVICE EIN 94-0360524 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Contract Administrator; Claims processing Service code 12 | — | $220K |
| DELTA DENTAL EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $105K |
| NORTHWEST PLAN SERVICES EIN 91-2090931 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $96K |
| BEESON, TAYER AND BODINE EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $87K |
| OPTUMRX, INC EIN 33-0441200 NONE | Other fees; Claims processing; Float revenue; Direct payment from the plan Service code 12 | — | $63K |
| MEDICARE PART D ADVISORS EIN 85-3689655 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $52K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $49K |
| TARP EIN 94-2875955 NONE | Direct payment from the plan; Other services Service code 49 | — | $32K |
| MAMMINI COMPANY EIN 47-0879697 NONE | Investment advisory (plan); Direct payment from the plan; Consulting (general) Service code 16 | — | $28K |
| HEALTHLINX, LLC EIN 87-0660214 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $22K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Direct payment from the plan; Other services Service code 49 | — | $20K |
| SMART SOURCE EIN 30-0830429 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $15K |
| OPTUMRX, INC. | Other fees; Float revenue Service code 62 | — | $10K |
| COMMONWEALTH EQUITY SERVICES EIN 04-2675571 NONE | Consulting (general); Investment advisory (plan); Direct payment from the plan; Custodial (securities); Investment management fees paid directly by plan Service code 16 | — | $6K |
| MARSH & MCLENNAN AGENCY EIN 36-1436000 NONE | Insurance brokerage commissions and fees Service code 53 | — | $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 | 996 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 427 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,423 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 952 | $6.3M |
| Dental | NEWPORT DENTAL PLAN | 29 | $16K |
| Vision | VISION SERVICE PLAN | 1,432 | $184K |
| Stop-loss / reinsurancereinsurance | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | 810 | $622K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,432 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.