No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SEDGWICK EIN 36-2685608 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $531K |
| ANTHEM BXBS EIN 95-4331852 NONE | Other services; Direct payment from the plan; Contract Administrator; Claims processing; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $318K |
| ALLSUP EIN 36-2685608 NONE | Direct payment from the plan; Other services Service code 49 | — | $208K |
| TOWERS WATSON DELAWARE INC. EIN 53-0181291 NONE | Consulting (general); Direct payment from the plan; Actuarial; Consulting fees Service code 11 | — | $122K |
| KAISER EIN 94-3203402 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $103K |
| MERCER HEALTH & BENEFITS ADMIN LLC EIN 13-2834414 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Participant communication; Recordkeeping fees Service code 15 | — | $69K |
| BLACKROCK INSTITUTIONAL TRUST CO. EIN 94-3112180 NONE | Investment management; Investment management fees paid directly by plan; Trustee (bank, trust company, or similar financial institution); Trustee (discretionary); Investment management fees paid indirectly by plan; Direct payment from the plan Service code 21 | — | $47K |
| DELTA DENTAL EIN 94-1461312 NONE | Claims processing; Plan Administrator; Direct payment from the plan Service code 12 | — | $44K |
| BANK OF NEW YORK MELLON EIN 13-5160382 TRUSTEE/ CUSTODIAN | Direct payment from the plan; Float revenue; Trustee (directed); Shareholder servicing fees; Other investment fees and expenses; Other fees Service code 25 | — | $42K |
| MEDCO EXPRESS SCRIPTS EIN 95-3204551 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $41K |
| BEACON HEALTH EIN 54-1414194 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $33K |
| MOSS ADAMS EIN 91-0189318 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $30K |
| MERCER HEALTH & BENEFITS LLC EIN 34-2015463 NONE | Actuarial; Consulting (general); Consulting fees; Direct payment from the plan; Insurance agents and brokers Service code 11 | — | $12K |
| VSP EIN 94-1632821 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $11K |
| PACIFIC GAS & ELECTRIC COMPANY EIN 94-0742640 PLAN SPONSOR | Direct payment from the plan; Account maintenance fees; Plan Administrator Service code 14 | — | $10K |
| OPTUM HEALTH CARE SOLUTIONS LLC EIN 41-1591944 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $6K |
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 | 725 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 725 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLANS INC. | 186 | $967K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLANS INC. | 186 | $967K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 186 | — |
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."
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.