| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DOUGLAS A WOHLMAN INC.3 Filed as: DOUGLAS A WOHLMAN INC | 809 ALOHA ST EDMONDS, WA 98020 | THE UNION LABOR LIFE INSURANCE CO. | $47K | — | $47K | 1.90% |
| THE SEGAL COMPANY3 | 333 WEST 34TH ST NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE CO. | $10K | — | $10K | 0.41% |
| THE SEGAL COMPANY3 | 333 WEST 34TH ST NEW YORK, NY 10001 | THE UNION LABOR LIFE INSURANCE COMPANY | $861 | — | $861 | 4.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS NONE | Direct payment from the plan; Contract Administrator Service code 13 | 1141 HARBOR BAY PKWY STE 100 ALAMEDA, CA 94502 | $5.7M |
| MULTI-PLAN SERVICES AGENCY, INC. EIN 81-3751949 NONE | Direct payment from the plan; Accounting (including auditing); Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 10 | — | $2.2M |
| ANTHEM BLUE CROSS LIFE EIN 95-4331852 NONE | Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Other services Service code 12 | — | $1.2M |
| CHARTWELL INVESTMENT PARTNERS NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 1205 WESTLAKES DR STE 100 BERWYN, PA 19312 | $763K |
| OPTUMRX, INC. EIN 33-0441200 NONE | Direct payment from the plan; Other fees; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $661K |
| MEDEXPERT INTERNATIONAL INC. NONE | Direct payment from the plan; Consulting (general) Service code 16 | 1300 HANCOCK ST REDWOOD CITY, CA 94063 | $462K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $402K |
| MCMORGAN & COMPANY NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 1 FRONT ST STE 100 SAN FRANCISCO, CA 94111 | $349K |
| INCOME RESEARCH & MANAGEMENT NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 100 FEDERAL ST 30TH FL BOSTON, MA 02110 | $258K |
| ASSISTANCE RECOVERY PROGRAM EIN 94-3042622 NONE | Direct payment from the plan Service code 50 | — | $231K |
| SALTZMAN & JOHNSON LAW CORPORATION EIN 95-2376174 NONE | Legal; Direct payment from the plan Service code 29 | — | $147K |
| PHARMACY BENEFIT SOLUTIONS INC NONE | Direct payment from the plan; Other services Service code 49 | 371 NEVADA ST AUBURN, CA 95603 | $143K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $117K |
| INVESTMENT PERFORMANCE SERVICES LLC EIN 58-2432390 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $109K |
| ENGINEERS PUBLISHING NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 3920 LENNANE DR SACRAMENTO, CA 95834 | $68K |
| MAILRITE PRINT & MAIL, INC. NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 834 STRIKE AVE STE C SACRAMENTO, CA 95834 | $36K |
| PNC BANK EIN 22-1146430 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $34K |
| BOEHM & ASSOCIATES EIN 94-2361175 NONE | Other commissions Service code 55 | — | $0 |
| STEPHEN HORN INSURANCE SVCS EIN 94-3249244 NONE | Insurance brokerage commissions and fees; 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 | 16,991 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 16,991 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 13,797 | $87.4M |
| Dental(2 contracts) | DELTA DENTAL | 30,601 | $16.6M |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 14,926 | $2.1M |
| Life insurance(3 contracts, 3 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 49,497 | $509K |
| Short-term disability | LIFEMAP ASSURANCE COMPANY | 2,412 | $124K |
| Stop-loss / reinsurancereinsurance(2 contracts, 2 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 9,786 | $9.6M |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 49,497 | $363K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 49,497 | — |
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.