| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITMALL3 | 2111 E. HIGHLAND AVE PHOENIX, AZ 85016 | THE UNION LABOR LIFE INSURANCE COMPANY | $55K | — | $55K | 3.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TITAN INSURANCE ADMINISTRATORS, INC EIN 92-3041544 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $9.0M |
| ANTHEM BLUE CROSS LIFE HEALTH INSUR EIN 95-4331852 NONE | Other services; Claims processing; Direct payment from the plan Service code 12 | — | $986K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $658K |
| INGENIORX, INC EIN 82-3062245 NONE | Claims processing; Direct payment from the plan; Float revenue; Other fees Service code 12 | — | $507K |
| LABOR FIRST LLC EIN 06-1750191 NONE | Other services; Insurance agents and brokers; Insurance services; Contract Administrator; Plan Administrator Service code 13 | — | $376K |
| TEAMSTER'S ASSISTANCE PROGRAM EIN 68-0048516 NONE | Other services; Direct payment from the plan Service code 49 | — | $314K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $283K |
| BEESON, TAYER & BODINE APC EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $267K |
| ULLICO EIN 13-1423090 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $257K |
| HEALTH MANAGEMENT CONCEPTS EIN 75-3189468 NONE | Other services; Direct payment from the plan Service code 49 | — | $187K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $175K |
| ASCENDANT HEALTHCARE INC. EIN 26-3768186 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $152K |
| PITNEY BOWES INC. EIN 06-0465050 NONE | Other services; Direct payment from the plan Service code 49 | — | $127K |
| IRON MOUNTAIN INC. EIN 23-2588479 NONE | Direct payment from the plan; Other services Service code 49 | — | $106K |
| HEALTHLINX, LLC EIN 87-0660214 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $77K |
| ALAN BILLER & ASSOCIATES EIN 94-2854958 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $74K |
| COMMUNICATE WRITE EIN 59-3821770 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $69K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $59K |
| U.S. BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $55K |
| SAFEGUARD BUSINESS SYSTEMS EIN 80-0426991 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $40K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $36K |
| STEPHEN HORN INSURANCE SERVICES EIN 94-3249244 NONE | Insurance brokerage commissions and fees Service code 53 | — | $32K |
| RR DONNELLEY NONE | Direct payment from the plan Service code 50 | 1281 NATIONAL DRIVE SACRAMENTO, CA 95834 | $25K |
| WHEELER SONOMA PRINTERS EIN 86-1383444 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $18K |
| WESTERN HEALTH CARE COALITION INC EIN 93-1223249 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $13K |
| ALPHA PRESS INC. EIN 94-2855338 NONE | Direct payment from the plan; Other services Service code 49 | — | $12K |
| UNITED PARCEL SERVICE, INC. EIN 36-2407381 NONE | Other services; Direct payment from the plan Service code 49 | — | $11K |
| JP MORGAN INVESTMENT MGMT EIN 13-3200244 NONE | Direct payment from the plan; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Investment advisory (plan); Investment management Service code 27 | — | $11K |
| PACIFIC STANDARD PRESS EIN 01-0551382 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $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 | 13,722 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,377 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 19,099 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 20,299 | $181.8M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 22,622 | $20.7M |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 11,072 | $171K |
| Prescription drug(2 contracts, 2 carriers) | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | 3,042 | $8.4M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 4,592 | $1.8M |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 11,072 | $171K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 22,622 | — |
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.