No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PACIFIC FEDERAL LLC EIN 47-3302715 NONE | Consulting (general); Direct payment from the plan; Contract Administrator Service code 13 | — | $1.3M |
| MILLIMAN USA EIN 91-0675641 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $78K |
| BUSH GOTTLIEB, A LAW CORPORATION EIN 95-2956616 NONE | Legal; Direct payment from the plan Service code 29 | — | $41K |
| VASQUEZ & CO., LLP EIN 33-0700332 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $32K |
| BLEIWEISS COMMUNICATIONS INC EIN 95-3676526 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $26K |
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 | 2,769 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 134 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,903 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 4,887 | $30.9M |
| Dental(3 contracts, 3 carriers) | LIBERTY DENTAL PLAN OF CALIFORNIA, INC. | 1,437 | $322K |
| Vision(2 contracts, 2 carriers) | DAVIS VISION - INSURER METROPOLITAN LIFE INSURANCE CO | 6,554 | $290K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 2,463 | $41K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 597 | $2.7M |
| Other(3 contracts, 3 carriers) | LIBERTY DENTAL PLAN OF CALIFORNIA, INC. | 2,463 | $301K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 6,554 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.