See the carriers, broker commissions and premiums for this plan.
It also shows filing history and funding margin. Your first month is $4.99.
See 6 contract rows with premium, retention and renewal dates. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
See commissions and fees for 6 broker rows. $4.99 for your first month.
Solo adds 10-year history, peer benchmarks, provider and welfare analytics, saves, and exports. Then $34.99 a month.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UFCW GROUP ADMINISTRATION LLC EIN 26-0048379 SALARIED ADMINISTRATOR | Direct payment from the plan; Plan Administrator Service code 14 | — | $628K |
| BLUE SHIELD OF CALIFORNIA EIN 94-0360524 NONE | Claims processing; Direct payment from the plan Service code 12 | 3401 N. CENTRE LAKE DR. 400 ONTARIO, CA 91761 | $357K |
| SEYFARTH & SHAW EIN 36-2152202 NONE | Legal; Direct payment from the plan Service code 29 | — | $107K |
| SEGAL COMPANY EIN 94-1503999 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $105K |
| HORIZON ACTUARIAL SERVICES, LLC EIN 38-3647875 NONE | Direct payment from the plan; Actuarial Service code 11 | 420 EXCHANGE, SUITE 260 IRVINE, CA 92602 | $51K |
| MCCRACKEN, STEMMERMAN & HOLLSBERRY EIN 94-1709555 NONE | Direct payment from the plan; Legal Service code 29 | — | $43K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $40K |
| HEALTH MANAGEMENT CONCEPTS EIN 75-3189468 NONE | Claims processing; Direct payment from the plan Service code 12 | 140 INTRACOASTAL POINTE DR. STE 301 JUPITER, FL 33477 | $36K |
| ELIXIR EIN 90-1011712 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $32K |
| DELTA DENTAL EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $25K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $16K |
| CYPRESS DENTAL EIN 68-0441908 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $12K |
| UFCW LOCAL 8 EIN 94-0801845 SPONSOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $9K |
| BENEFIT AND RISK MANAGEMENT SERVICE EIN 68-0306908 NONE | Direct payment from the plan; Consulting (general) Service code 16 | 80 IRON POINT CIRCLE, SUITE 200 FOLSOM, CA 95630 | $9K |
| PREMIER ACCESS DENTAL NONE | Direct payment from the plan; Claims processing Service code 12 | 8890 CAL CENTER DRIVE SACRAMENTO, CA 95826 | $9K |
| PODIATRY PLAN EIN 82-2040110 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $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 | 1,885 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,885 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 1,129 | $5.3M |
| Dental | LIBERTY DENTAL PLAN OF CALIFORNIA, INC | 21 | $4K |
| Life insurance(2 contracts) | PRUDENTIAL | 4,526 | $139K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | BERKSHIRE HATHAWAY | 1,358 | $1.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,526 | — |
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."
Total premium grew more than 20% over the prior year. Good candidate for re-shopping the carriers.
The primary broker changed. The plan may take a second-look pitch.
Broker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultant sales target.