| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS OF CA EIN 95-3760980 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.5M |
| ZENITH AMERICAN SOLUTIONS NONE | Direct payment from the plan; Plan Administrator Service code 14 | 1600 HARBOR BAY PARKWAY, SUITE 200 ALAMEDA, CA 94502 | $400K |
| NORTHERN CA CEMENT MASONS ADMIN EIN 94-1583754 PARTY-IN-INTEREST | Direct payment from the plan; Plan Administrator Service code 14 | — | $395K |
| SEGAL CONSULTING EIN 94-1503999 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $269K |
| DELTA DENTAL EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $204K |
| QUEST DIAGNOSTICS NONE | Direct payment from the plan; Claims processing Service code 12 | 10101 RENNER BLVD. LENEXA, KS 66219 | $64K |
| WEINBERG, ROGER & ROSENFELD EIN 94-2458080 NONE | Legal; Direct payment from the plan Service code 29 | — | $64K |
| PACIFIC HEALTH ALLIANCE NONE | Direct payment from the plan; Claims processing Service code 12 | 1525 ROLLINS RD, SUITE B BURLINGAME, CA 94010 | $53K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $37K |
| VISION SERVICE PLAN NONE | Claims processing; Direct payment from the plan Service code 12 | 3333 QUALITY DRIVE RANCHO CORDOVA, CA 95670 | $33K |
| MCMORGAN & COMPANY EIN 52-2334338 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $25K |
| MORGAN STANLEY EIN 20-8764829 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $24K |
| US BANK NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | 633 W. 5TH STREET LOS ANGELES, CA 90071 | $13K |
| BULLIVANT HOUSER & BAILEY EIN 93-6246493 NONE | Direct payment from the plan; Legal Service code 29 | — | $9K |
| TRUCKER HUSS EIN 94-3216063 NONE | Legal; Direct payment from the plan Service code 29 | — | $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 | 2,613 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 466 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,079 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 85 | $88K |
| Dental | DELTA DENTAL OF CALIFORNIA | 7,872 | $127K |
| Stop-loss / reinsurancereinsurance(2 contracts) | PARTNERRE AMERICA INSURANCE COMPANY | 1,860 | $481K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,872 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.