No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CNIC HEALTH SOLUTIONS INC EIN 71-0873411 NONE | Other services; Claims processing; Direct payment from the plan; Contract Administrator; Other fees Service code 12 | — | $311K |
| SLEVIN & HART, P.C. EIN 52-1708613 NONE | Legal; Direct payment from the plan Service code 29 | — | $118K |
| FRINGE BENEFIT SERVICES INC. EIN 84-0620086 NONE | Participant communication; Direct payment from the plan; Copying and duplicating; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | — | $75K |
| SHEET METAL WORKERS LOCAL NO. 9 EIN 84-0318035 SPONSORING UNION | Contract Administrator; Participant communication; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating Service code 13 | — | $59K |
| WELLDYNE INC EIN 84-1515837 NONE | Contract Administrator; Other services; Claims processing Service code 12 | — | $55K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $54K |
| DELTA DENTAL OF COLORADO EIN 84-0568337 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $40K |
| LEGACY PROFESSIONALS LLP EIN 32-0043599 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $29K |
| TC3 HEALTH INC NONE | Other services Service code 49 | 19732 MACARTHUR BLVD 100 IRVINE, CA 92612 | $27K |
| MINES AND ASSOCIATES EIN 84-1028610 NONE | Direct payment from the plan; Other services Service code 49 | — | $27K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $12K |
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 | 891 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 54 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 945 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 909 | $19K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 945 | $303K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 909 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 945 | — |
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."
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.