No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX EIN 33-0441200 NONE | Float revenue; Other fees; Direct payment from the plan Service code 50 | — | $332K |
| RAEL AND LETSON EIN 94-1701048 NONE | Actuarial; Consulting (pension) Service code 11 | — | $93K |
| CHRIS MCDANIEL EMPLOYEE OF AFFILIATED TR | Plan Administrator Service code 14 | 5841 NEWMAN CT SACRAMENTO, CA 95819 | $76K |
| UNITED CONCORDIA EIN 25-1687586 NONE | Claims processing Service code 12 | — | $65K |
| BELINDA HIBBARD EMPLOYEE OF AFFILIATED TR | Plan Administrator Service code 14 | 5841 NEWMAN CT SACRAMENTO, CA 95819 | $57K |
| CALIBER NETWORKS SOLUTIONS NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 1317 HELFORD LN CARMEL, IN 46032 | $56K |
| BRAD BERNEL EMPLOYEE OF AFFILIATED TR | Plan Administrator Service code 14 | 5841 NEWMAN CT SACRAMENTO, CA 95819 | $56K |
| CONNIE HIBBARD EMPLOYEE OF AFFILIATED TR | Plan Administrator Service code 14 | 5841 NEWMAN CT SACRAMENTO, CA 95819 | $55K |
| ALISA MUELLER EMPLOYEE OF AFFILIATED TR | Plan Administrator Service code 14 | 5841 NEWMAN CT SACRAMENTO, CA 95819 | $55K |
| INNOVATIVE SOFTWARE SOLUTIONS INC NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | 3000 S LENOLA RD MAPLE SHADE, NJ 08052 | $50K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing) Service code 10 | — | $33K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing) Service code 10 | — | $23K |
| VICTOR BERTOLANI NONE | Legal Service code 29 | 1731 J ST STE 250 SACRAMENTO, CA 95811 | $22K |
| ISLIP & CO. EIN 68-0344156 NONE | Accounting (including auditing) Service code 10 | — | $20K |
| KRAW LAW GROUP, APC EIN 32-0465891 NONE | Legal Service code 29 | — | $17K |
| MESVISION EIN 95-4354242 NONE | Claims processing Service code 12 | — | $8K |
| STEPHEN HORN INSURANCE SERVICES EIN 94-3249244 NONE | Insurance brokerage commissions and fees; Soft dollars commissions Service code 53 | — | $6K |
| MERRILL LYNCH PIERCE FENNER & SMITH EIN 13-5674085 NONE | Sub-transfer agency fees; Distribution (12b-1) fees Service code 60 | — | $65 |
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 | 801 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 223 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,024 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLANS, INC | 1,398 | $8.6M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 145 | $74K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMP | 847 | $69K |
| Stop-loss / reinsurancereinsurance | BLUE SHIELD OF CALIFORNIA LIFE & HEALTH INSURANCE COMPANY | 1,033 | $923K |
| Other | THE UNION LABOR LIFE INSURANCE COMP | 847 | $69K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,398 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.