No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHPLAN SERVICES, INC. EIN 59-1407300 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $482K |
| ALLSUP, LLC EIN 82-2208506 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $470K |
| GROOM LAW GROUP, CHARTERED EIN 52-1219029 NONE | Legal; Direct payment from the plan Service code 29 | — | $294K |
| SEDGWICK CLAIMS MGMT SERVICES EIN 36-2685608 NONE | Claims processing; Contract Administrator; Direct payment from the plan Service code 12 | — | $292K |
| ANTHEM BLUE CROSS LIFE & HEALTH INS EIN 95-4331852 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Other services; Claims processing; Float revenue Service code 12 | — | $179K |
| WILLIS TOWERS WATSON US LLC EIN 53-0181291 NONE | Consulting fees; Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $148K |
| MOSS ADAMS LLP EIN 91-0189318 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $57K |
| MERCER (US), INC. EIN 13-2834414 NONE | Insurance agents and brokers; Direct payment from the plan; Consulting fees; Actuarial; Consulting (general) Service code 11 | — | $54K |
| BREGE COMMUNICATIONS, INC EIN 47-3081862 NONE | Participant communication; Consulting (general); Consulting fees; Direct payment from the plan Service code 16 | — | $44K |
| BLACKROCK INSTITUTIONAL TRUST CO. EIN 94-3112180 NONE | Direct payment from the plan; Investment management fees paid indirectly by plan; Trustee (bank, trust company, or similar financial institution); Investment management fees paid directly by plan; Trustee (discretionary); Investment management Service code 21 | — | $41K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Claims processing; Direct payment from the plan; Plan Administrator Service code 12 | — | $23K |
| 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 | — | $17K |
| TELUS HEALTH, (US) LTD. EIN 52-1883918 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Recordkeeping fees; Participant communication Service code 15 | — | $14K |
| EXPRESS SCRIPTS, INC. EIN 22-3461740 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $13K |
| CARELON BEHAVIORAL HEALTH, INC EIN 54-1414194 NONE | Insurance services; Direct payment from the plan; Contract Administrator Service code 13 | — | $13K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $11K |
| STUDIO 19.US, INCORPORATED EIN 87-0700041 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $9K |
| MADISON STREET PRESS EIN 94-2977418 NONE | Direct payment from the plan; Other services Service code 49 | — | $7K |
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 | 452 | 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) | 452 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 169 | $541K |
| Prescription drug(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC. | 169 | $541K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 169 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.