| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| N | — | UNITED HEALTHCARE | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS ADMINISTRATORS, INC. EIN 38-2383171 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $1.1M |
| DELTA DENTAL EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $445K |
| LEONARD CARDER LLP EIN 94-2819269 NONE | Legal; Direct payment from the plan Service code 29 | — | $206K |
| SCHOLARMATCH NONE | Other services; Direct payment from the plan Service code 49 | 849 VALENCIA ST SAN FRANCISCO, CA 94110 | $153K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $131K |
| EMPLOYEE 04 EIN 94-1645611 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $110K |
| ASCENDENT HEALTHCARE EIN 26-3768186 NONE | Direct payment from the plan; Consulting (general); Other services Service code 16 | — | $98K |
| SAN FRANCISCO CULINARY BARTENDERS & EIN 94-1645611 RELATED PLANORGANIZATION | Other services; Direct payment from the plan Service code 49 | — | $87K |
| LORD ABBETT & CO. LLC NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 90 HUDSON ST NEW JERSEY, NJ 07302 | $85K |
| EMPLOYEE 03 EIN 94-1645611 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $71K |
| EMPLOYEE 02 EIN 94-1645611 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $71K |
| INCOME RESEARCH MANAGEMENT EIN 04-2955404 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $70K |
| SMARTSOURCE, LLC EIN 54-2104343 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $65K |
| IRON MOUNTAIN EIN 23-2588479 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $55K |
| PAUL GEHRMAN NONE | Other services; Direct payment from the plan Service code 49 | 430 ELM AVE LARKSPUR, CA 94939 | $50K |
| SELF HELP FOR THE ELDERLY EIN 94-1750717 NONE | Direct payment from the plan; Other services Service code 49 | — | $39K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $39K |
| EMPLOYEE 01 EIN 94-1645611 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $33K |
| ULLICO EIN 13-1423090 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $31K |
| TECH HOSPITALITY, INC. EIN 45-5559730 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $25K |
| EUGENE P. LAW, EA NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | 50 AUSTIN AVE #533 HAYWARD, CA 94544 | $19K |
| UNITE HERE LOCAL 2 PLAN SPONSOR | Direct payment from the plan; Other services Service code 49 | 209 GOLDEN GATE AVE SAN FRANCISCO, CA 94102 | $18K |
| PAULETTE MCMILLIAN EIN 80-0669079 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $18K |
| NEPC, LLC EIN 26-1429809 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $15K |
| DIRECT MARKETING SOLUTIONS, INC. EIN 94-3070546 NONE | Other services; Direct payment from the plan Service code 49 | — | $11K |
| MARSH MCLENNAN AGENCY LLC EIN 36-1436000 NONE | Insurance agents and brokers; Insurance brokerage commissions and fees 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 | 6,490 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3,627 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | BLUE SHIELD OF CALIFORNIA | 3,561 | $40.4M |
| Vision(2 contracts, 2 carriers) | HEALTH NET | 5,947 | $2.7M |
| Prescription drug(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 3,561 | $38.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,873 | — |
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."
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.