No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PACFED BENEFIT ADMINISTRATORS, INC. EIN 95-4353570 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $248K |
| PACFED INSURANCE SERVICES EIN 95-3115034 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $86K |
| ANTHONY BUBENAS & CO. EIN 95-2368103 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $52K |
| REICH, ADELL & CVITAN EIN 95-3082677 NONE | Legal; Direct payment from the plan Service code 29 | — | $34K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
| NIGRO KARLIN SEGAL & FELDSTEIN LLP NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 10100 SANTA MONICA BLVD STE 1300 LOS ANGELES, CA 90067 | $8K |
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 | 964 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 964 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 2,722 | $12.7M |
| Dental | DENTAL HEALTH SERVICES | 936 | $465K |
| Vision | DAVIS VISION (HM LIFE INSURANCE CO.) | 2,716 | $181K |
| Life insurance | AETNA LIFE | 1,002 | $114K |
| Other(2 contracts, 2 carriers) | MANAGED HEALTH NETWORK | 1,002 | $413K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,722 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.