| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITMALL3 | 2111 E. HIGHLAND AVE PHOENIX, AZ 85016 | THE UNION LABOR LIFE INSURANCE COMPANY | $22K | — | $22K | 1.20% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LIPMAN INSURANCE ADMINISTRATORS INC EIN 94-3042186 NONE | Direct payment from the plan; Contract Administrator; Copying and duplicating Service code 13 | — | $7.8M |
| ANTHEM BLUE CROSS EIN 95-3760980 NONE | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $868K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $485K |
| BEESON, TAYER AND BODINE EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $310K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $275K |
| INGENIORX, INC. EIN 82-3062245 NONE | Float revenue; Other fees; Direct payment from the plan; Claims processing Service code 12 | — | $271K |
| PITNEY BOWES EIN 06-0465050 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $254K |
| TEAMSTERS' ASSISTANCE PROGRAM EIN 68-0048516 NONE | Direct payment from the plan; Other services Service code 49 | — | $251K |
| HEALTH MANAGEMENT CONCEPTS EIN 75-3189468 NONE | Other services; Direct payment from the plan Service code 49 | — | $183K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $171K |
| ASCENDANT HEALTHCARE INC EIN 26-3768186 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $147K |
| JP MORGAN EIN 13-3200244 NONE | Direct payment from the plan; Investment management; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan; Investment advisory (plan) Service code 27 | — | $132K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $74K |
| HEALTHLINX, LLC EIN 87-0660214 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $71K |
| ALAN D. BILLER & ASSOCIATES EIN 94-2854958 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $65K |
| U.S. BANK EIN 31-0841368 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $54K |
| IRON MOUNTAIN RECORD MGMT EIN 04-3038590 NONE | Direct payment from the plan; Other services Service code 49 | — | $54K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $48K |
| SAFEGUARD BUSINESS SYSTEMS EIN 80-0426991 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $35K |
| PACIFIC STANDARD PRESS EIN 01-0551382 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $33K |
| STEPHEN HORN INSURANCE EIN 94-3249244 NONE | Insurance brokerage commissions and fees Service code 53 | — | $31K |
| ONE RHYTHM EIN 80-0812990 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $21K |
| WHEELER SONOMA PRINTERS EIN 86-1383444 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $20K |
| C.W. ASSOCIATES EIN 59-3821770 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $16K |
| UNITED PARCEL SERVICE EIN 36-2407381 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| ERIC GOULDSBERRY ART DIRECTION EIN 77-0541381 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $7K |
| ALPHA PRESS EIN 94-2855338 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $6K |
| OPTUMRX, INC. | Float revenue; Other fees Service code 62 | — | $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 | 13,608 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,090 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 18,698 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 19,437 | $164.2M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 27,460 | $19.9M |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 10,649 | $160K |
| Prescription drug(2 contracts, 2 carriers) | ANTHEM BLUE CROSS | 2,826 | $5.0M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 4,406 | $1.8M |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 10,649 | $160K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 27,460 | — |
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.