No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA HEALTH & LIFE INSURANCE CO EIN 59-1031071 NONE | Claims processing; Contract Administrator; Float revenue; Non-monetary compensation; Named fiduciary; Participant communication; Direct payment from the plan; Other services Service code 12 | — | $705K |
| BENESYS INC EIN 38-2383171 NONE | Contract Administrator Service code 13 | — | $677K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Insurance agents and brokers; Accounting (including auditing) Service code 10 | 1230 WEST WASHINGTON STREET STE 5 TEMPE, AZ 85281 | $273K |
| DELTA DENTAL INSURANCE COMPANY EIN 94-2761537 NONE | Plan Administrator; Claims processing Service code 12 | 100 FIRST STREET SAN FRANCISCO, CA 94105 | $77K |
| US BANK TRUST CO EIN 93-6157747 NONE | Custodial (securities) Service code 19 | 555 SOUTHWEST OAK ST PL 6 PRORTLAND, OR 97204 | $64K |
| SALTZMAN & JOHNSON NONE | Legal Service code 29 | 7 W. 41ST AVENUE STE 410 SAN MATEO, CA 94403 | $45K |
| HEALTHCARE BLUE BOOK NONE | Insurance services Service code 23 | 5880 NOLENSVILLE PIKE #200 NASHVILLE, TN 37211 | $34K |
| GALLAGHER FIDUCIARY ADVISORS LLC EIN 36-4291971 NONE | Investment advisory (plan) Service code 27 | TWO PIERCE PLACE ITASCA, IL 60143 | $29K |
| KAY PRINTING NONE | Copying and duplicating; Other services Service code 36 | 220 ENTIN RD CLIFTON, NJ 07014 | $27K |
| SEGAL SELECT INSURANCE EIN 46-0169194 NONE | Insurance services Service code 23 | — | $24K |
| HEALTH EQUITY EIN 52-2383166 NONE | Contract Administrator; Insurance services Service code 13 | 15 W SCENIC POINT DR STE 100 DRAPER, UT 84020 | $21K |
| BALDWIN MOFFITT BEHM LLP EIN 46-4370753 NONE | Accounting (including auditing) Service code 10 | PO BOX 60008 PHOENIX, AZ 850820008 | $16K |
| SMART SOURCE NONE | Other services Service code 49 | 7270 MCGINNIS FERRY ROAD SUWANEE, GA 30024 | $11K |
| IRON MOUNTAIN NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 929 S MEDINA ST SAN ANTONIO, TX 78207 | $9K |
| CEASARS ENTERTAINMENT NONE | Other services Service code 49 | 1565 RIVER PARK DRIVE # C SACRAMENTO, CA 95815 | $9K |
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 | 1,730 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,730 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | 1,730 | $911K |
| Dental | DELTA DENTAL INSURANCE COMPANY | 1,730 | $1.7M |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,730 | $1.4M |
| Stop-loss / reinsurancereinsurance | PARTNERRE AMERICAN INSURANCE COMPANY (PRAIC) | 1,730 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,730 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.