| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTHWEST ADMINISTRATORS EIN 91-0680697 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $668K |
| DELTA DENTAL EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $400K |
| INCOME RESEARCH MANAGEMENT EIN 04-2955404 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $130K |
| RAEL & LETSON EIN 94-1524115 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $121K |
| INVESCO ADVISORS EIN 58-1707262 NONE | Soft dollars commissions; Direct payment from the plan; Investment management Service code 28 | — | $117K |
| UNION LABOR LIFE INSURANCE COMPANY EIN 13-1423090 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $101K |
| LOUISE RUSH EIN 94-1645611 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $97K |
| ASCENDENT HEALTHCARE EIN 26-3768186 NONE | Direct payment from the plan; Other services; Consulting (general) Service code 16 | — | $94K |
| YUE HUA MAI EIN 94-1645611 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $66K |
| ANA SABORIO EIN 94-1645611 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $64K |
| LEONARD CARDER LLP EIN 94-2819269 NONE | Legal; Direct payment from the plan Service code 29 | — | $57K |
| ROBERTO LOPEZ EIN 94-1645611 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $45K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $38K |
| SELF HELP FOR THE ELDERLY EIN 94-1750717 NONE | Direct payment from the plan; Consulting (general); Other services Service code 16 | — | $34K |
| AARON D LING EIN 94-1645611 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $33K |
| PAULETTE MCMILLAN EIN 80-0669079 NONE | Other services; Direct payment from the plan Service code 49 | — | $31K |
| TECH HOSPITALITY, INC. NONE | Other services; Consulting (general); Direct payment from the plan Service code 16 | 870 MARKET ST. 1056 SAN FRANCISCO, CA 94102 | $8K |
| LORD ABBETT NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 90 HUDSON STREET JERSEY CITY, NJ 07302 | $8K |
| JACK OUYANG EIN 94-1645611 NONE | Consulting (general); Other services; Direct payment from the plan Service code 16 | — | $7K |
| NEW ENGLAND PENSION CONSULTANTS EIN 26-1429809 NONE | Direct payment from the plan; Consulting (pension) Service code 17 | — | $7K |
| PAUL GEHRMAN NONE | Direct payment from the plan; Other services Service code 49 | 430 ELM AVE. LARKSPUR, CA 94939 | $5K |
| NU WEST EIN 36-1436000 NONE | Insurance services; Insurance agents and brokers Service code 22 | — | $0 |
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 | 1,729 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,764 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 5,493 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUE SHIELD OF CALIFORNIA | 1,069 | $30.6M |
| Dental | INTERDENT | 0 | $29K |
| Vision(2 contracts, 2 carriers) | HEALTH NET | 1,385 | $2.5M |
| Prescription drug(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 1,069 | $28.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 7,287 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.