| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONE | — | KAISER FOUNDATION HEALTH PLAN INC | — | — | $0 | 0.00% |
| THE SEGAL COMPANY3 Filed as: THE SEGAL COMPANY (EASTERN STATES) | 333 WEST 34TH STREET NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $7K | — | $7K | 2.03% |
| NONE | — | PARTNERRE AMERICA INSURANCE COMPANY | — | — | $0 | 0.00% |
| NONE | — | UNITED HEALTHCARE INSURANCE COMPANY | — | — | $0 | 0.00% |
| NONE | — | DELTA DENTAL OF CALIFORNIA | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS OF CALIFORNIA EIN 95-3760980 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $543K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $404K |
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $384K |
| NORTHERN CA CEMENT MASONS ADMIN EIN 94-1583754 RELATED PARTY | Direct payment from the plan; Plan Administrator Service code 14 | — | $325K |
| HEALTH SERVICES BENEFIT ADMIN EIN 94-3089465 NONE | Plan Administrator; Legal; Direct payment from the plan Service code 14 | — | $304K |
| DELTA DENTAL EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $298K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $147K |
| UNITED BEHAVIOR HEALTH EIN 94-2649097 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $116K |
| TRUCKER HUSS EIN 94-3216063 NONE | Legal; Direct payment from the plan; Custodial (securities) Service code 19 | — | $103K |
| MCMORGAN & COMPANY EIN 52-2334338 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $101K |
| WEINBERG, ROGER & ROSENFELD EIN 94-2458080 NONE | Legal; Direct payment from the plan Service code 29 | — | $100K |
| VSP VISION SERVICE PLAN NONE | Claims processing; Direct payment from the plan Service code 12 | 3333 QUALITY DRIVE RANCHO CORDOVA, CA 95670 | $60K |
| QUEST DIAGNOSTICS NONE | Claims processing; Direct payment from the plan Service code 12 | 10101 RENNER BLVD LENEXA, KS 66219 | $54K |
| PACIFIC HEALTH ALLIANCE NONE | Direct payment from the plan; Claims processing Service code 12 | 1525 ROLLINS RD, SUITE B BURLINGAME, CA 94010 | $48K |
| GRAYSTONE CONSULTING NONE | Investment management; Direct payment from the plan Service code 28 | 800 EAST 96TH STREET, SUITE 400 INDIANAPOLIS, IN 46240 | $31K |
| THE LONDON COMPANY EIN 90-0824693 NONE | Investment management; Direct payment from the plan Service code 28 | — | $25K |
| MORGAN STANLEY EIN 20-8764829 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $23K |
| BULLIVANT HOUSER & BAILEY EIN 93-1129534 NONE | Direct payment from the plan; Legal Service code 29 | — | $23K |
| GARCIA HAMILTON & ASSOCIATES EIN 76-0589652 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $20K |
| US BANK NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | 633 W 5TH STREET LOS ANGELES, CA 90071 | $13K |
| SEGALL BRYANT & HAMILL EIN 41-1788385 NONE | Consulting (general); Actuarial Service code 11 | — | $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 | 2,635 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 451 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,086 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 247 | $102K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 1,949 | $521K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,187 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
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.