| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY Filed as: THE SEGAL CO. ARIZONA | 1501 FOUNTAINHEAD PARKWAY SUITE 370 TEMPE, AZ 85282 | THE UNION LABOR LIFE INSURANCE COMPANY | $3K | — | $3K | 1.44% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ACTIVATE HEALTHCARE LLC EIN 27-0908752 NONE OTHER THAN CONTRACT | Other services Service code 49 | — | $1.6M |
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE OTHER THAN CONTRACT | Contract Administrator Service code 13 | — | $1.3M |
| EVERSIDE HEALTH GROUP, INC NONE OTHER THAN CONTRACT | Other services Service code 49 | 1400 WEWATTA STREET SUITE 350 DENVER, CO 80202 | $854K |
| ANTHEM BLUE CROSS EIN 84-0747736 NONE OTHER THAN CONTRACT | Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator Service code 12 | — | $713K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE OTHER THAN CONTRACT | Consulting (general) Service code 16 | — | $373K |
| THE SEGAL COMPANY EIN 94-1503999 NONE OTHER THAN CONTRACT | Consulting (general) Service code 16 | — | $272K |
| ENVISION PHARMACEUTICAL SERVICES EIN 04-0570786 NONE OTHER THAN CONTRACT | Claims processing Service code 12 | — | $194K |
| CECILIA B. BACERO EMPLOYEE | Employee (plan) Service code 30 | 2250 S RANCHO DR STE 295 LAS VEGAS, NV 89102 | $126K |
| PDQ PRINTING EIN 20-3649287 NONE OTHER THAN CONTRACT | Copying and duplicating Service code 36 | — | $113K |
| HARMONY HEALTHCARE EIN 04-3290453 NONE OTHER THAN CONTRACT | Claims processing; Consulting (general) Service code 12 | 411 MARK LEARY DR. HENDERSON, NV 89011 | $109K |
| LABCORP NONE OTHER THAN CONTRACT | Other services Service code 49 | 2080 E. FLAMINGO RD. STE #110 LAS VEGAS, NV 89119 | $101K |
| ALLCARE FOR WOMEN, LLC NONE OTHER THAN CONTRACT | Other services Service code 49 | 1505 WIGWAM PKWY #241 HENDERSON, NV 89074 | $99K |
| 475 VAUGHN, LLC NONE OTHER THAN CONTRACT | Other services Service code 49 | 3430 E. SUNRISE DR #200 TUCSON, AZ 85718 | $88K |
| VAX SERVE NONE OTHER THAN CONTRACT | Other services Service code 49 | 54 GLENMAURA NATIONAL BLVD STE #301 MOOSIC, PA 18507 | $79K |
| WELLS FARGO BANK EIN 41-1492157 NONE OTHER THAN CONTRACT | Custodial (securities) Service code 19 | — | $42K |
| RYAN RAPP UNDERWOOD & PACHECO EIN 86-0767091 NONE OTHER THAN CONTRACT | Legal Service code 29 | — | $41K |
| WELLS CAPITAL MANAGEMENT EIN 95-3692822 NONE OTHER THAN CONTRACT | Investment management Service code 28 | — | $38K |
| HEALTH SERVICES COALITION EIN 88-0492643 NONE OTHER THAN CONTRACT | Other services Service code 49 | — | $37K |
| SEGAL SELECT INSURANCE EIN 46-0619194 NONE OTHER THAN CONTRACT | Insurance brokerage commissions and fees Service code 53 | 333 W 34TH STREET NEW YORK, NY 100012402 | $36K |
| YOUNG AT HEART DISTRIBUTION NONE OTHER THAN CONTRACT | Other fees Service code 99 | 101 W 103RD ST INDIANAPOLIS, IN 46290 | $33K |
| A. J. LONGO & ASSOCIATES NONE OTHER THAN CONTRACT | Insurance services Service code 23 | 253 N LAKE AVE PASADENA, CA 91101 | $31K |
| COVERALL NORTH AMERICA, INC. NONE OTHER THAN CONTRACT | Other fees Service code 99 | 7180 DEAN MARTIN DR SUITE 500 LAS VEGAS, NV 89118 | $20K |
| BALDWIN MOFFITT PLLC EIN 46-4370753 NONE OTHER THAN CONTRACT | Accounting (including auditing) Service code 10 | — | $20K |
| CHRISTENSEN, JAMES & MARTIN EIN 88-0330440 NONE OTHER THAN CONTRACT | Legal Service code 29 | — | $19K |
| IFEBP EIN 39-1034021 NONE | Other services Service code 49 | — | $9K |
| IRON MOUNTAIN INC EIN 23-2588479 NONE OTHER THAN CONTRACT | Other services Service code 49 | 1 FEDERAL STREET BOSTON, MA 02110 | $7K |
| ALSCO NONE OTHER THAN CONTRACT | Other fees Service code 99 | 2300 N COMMERCE ST NORTH LAS VEGAS, NV 89030 | $5K |
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 | 3,958 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 136 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,094 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH PLAN OF NEVADA | 591 | $5.8M |
| Dental(2 contracts, 2 carriers) | LIBERTY DENTAL PLAN OF NEVADA | 3,300 | $409K |
| Vision(2 contracts, 2 carriers) | HEALTH PLAN OF NEVADA | 3,782 | $5.9M |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 3,747 | $355K |
| Prescription drug | HEALTH PLAN OF NEVADA | 591 | $5.8M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 3,270 | $176K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 3,747 | $355K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,782 | — |
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.