| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: THE SEGAL CO EASTERN STATES IN | 333 WEST 34TH STREET NEW YORK, NY 10001 | SYMETRA LIFE INSURANCE COMPANY | $16K | — | $16K | 2.09% |
| BLUE CROSS BLUE SHIELD OF FLORIDA3 Filed as: BLUE CROSS AND BLUE SHIELD | 2444 W LAS PALMARITAS DRIVE PHOENIX, AZ 85021 | SYMETRA LIFE INSURANCE COMPANY | $14K | — | $14K | 1.85% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUECROSS BLUESHIELD OF ARIZONA EIN 86-0004538 NONE | Consulting (general) Service code 16 | — | $12.0M |
| AETNA EIN 06-6033492 NONE | Direct payment from the plan; Insurance services; Plan Administrator; Product termination fees (surrender charges, etc.); Claims processing Service code 12 | — | $6.7M |
| SOUTHWEST SERVICE ADMINISTRATORS EIN 86-0785790 NONE | Plan Administrator Service code 14 | — | $4.9M |
| CAMDEN BONDS PLUS FUND LLC EIN 95-4319164 NONE | Soft dollars commissions; Investment management fees paid indirectly by plan Service code 52 | — | $928K |
| COTIVITI EIN 56-2059380 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Other fees; Participant communication Service code 15 | — | $526K |
| ALAN BILLER AND ASSOCIATES EIN 94-2854958 NONE | Investment management fees paid directly by plan; Investment management; Investment advisory (plan); Direct payment from the plan Service code 27 | — | $496K |
| 98POINT6 EIN 47-3490194 NONE | Other fees Service code 99 | — | $460K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general) Service code 16 | — | $399K |
| MD SASS & ASSOCIATES, INC. EIN 13-2704843 NONE | Investment management Service code 28 | — | $350K |
| VISION SERVICE PLAN EIN 06-1227840 NONE | Claims processing Service code 12 | — | $348K |
| LOOMIS, SAYLES & COMPANY EIN 04-3200030 NONE | Soft dollars commissions Service code 68 | — | $304K |
| RYAN, RAPP & UNDERWOOD EIN 86-0767091 NONE | Legal Service code 29 | — | $235K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $223K |
| NWQ INVESTMENT MANAGEMENT EIN 47-0875130 NONE | Soft dollars commissions; Investment management fees paid directly by plan; Investment management Service code 28 | — | $167K |
| WILLIAM BLAIR INVESTMENT MANAGEMENT EIN 47-2614791 NONE | Investment management Service code 28 | — | $165K |
| CVS HEALTH EIN 05-0340626 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $153K |
| ARISTOTLE EIN 95-4833644 NONE | Investment management fees paid directly by plan; Soft dollars commissions Service code 51 | — | $147K |
| MINES AND ASSOCIATES EIN 84-1028610 NONE | Other fees; Direct payment from the plan Service code 50 | — | $146K |
| WELLINGTON CTF SMID CAP RESEARCH EIN 04-2755549 NONE | Investment management fees paid directly by plan Service code 51 | — | $137K |
| BEACON HEALTH OPTIONS EIN 54-1414194 NONE | Insurance services Service code 23 | — | $93K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Investment management Service code 28 | — | $80K |
| HENNINGFIELD & ASSOCIATES EIN 54-2189926 NONE | Accounting (including auditing) Service code 10 | — | $75K |
| AMERICAN HEALTH GROUP EIN 86-0494854 NONE | Insurance services Service code 23 | — | $56K |
| DOUGLAS RUYGROK NONE | Consulting (general) Service code 16 | 2102 LA CANADA CREST DRIVE C LA CANADA, CA 91011 | $43K |
| MEDICAL REVIEW INSTITUTE EIN 87-0515201 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $31K |
| BNY MELLON CF DV NON-SL STOCK INDEX EIN 25-6078093 NONE | Investment management Service code 28 | — | $16K |
| INTERLINK EIN 93-1164345 NONE | Other services; Claims processing; Contract Administrator Service code 12 | — | $10K |
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 | 48,813 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 48,813 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 9,478 | $47.0M |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 3,315 | $774K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,478 | — |
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.