| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITMALL3 | 2111 E. HIGHLAND AVE PHOENIX, AZ 85016 | THE UNION LABOR LIFE INSURANCE COMPANY | $38K | — | $38K | 1.97% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LIPMAN INSURANCE ADMINISTRATORS INC EIN 94-3042186 NONE | Copying and duplicating; Direct payment from the plan; Contract Administrator Service code 13 | — | $6.1M |
| TITAN INSURANCE ADMINISTRATORS, INC EIN 92-3041544 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $2.2M |
| ANTHEM BLUE CROSS EIN 95-3760980 NONE | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $892K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $644K |
| INGENIORX, INC EIN 82-3062245 NONE | Direct payment from the plan; Float revenue; Other fees; Claims processing Service code 12 | — | $477K |
| LABOR FIRST LLC EIN 06-1750191 NONE | Contract Administrator; Direct payment from the plan; Other services; Insurance services; Insurance agents and brokers Service code 13 | — | $284K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $280K |
| BEESON, TAYER & BODINE EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $274K |
| TEAMSTERS' ASSISTANCE PROGRAM EIN 68-0048516 NONE | Other services; Direct payment from the plan Service code 49 | — | $253K |
| PITNEY BOWES INC. EIN 06-0465050 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $241K |
| PACIFIC STANDARD PRESS EIN 01-0551382 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $225K |
| HEALTH MANAGEMENT CONCEPTS EIN 75-3189468 NONE | Direct payment from the plan; Other services Service code 49 | — | $186K |
| UNION LABOR LIFE EIN 13-1423090 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $185K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $170K |
| JP MORGAN EIN 13-3200244 NONE | Investment management fees paid indirectly by plan; Direct payment from the plan; Investment management fees paid directly by plan; Investment advisory (plan); Investment management Service code 27 | — | $167K |
| ASCENDANT HEALTHCARE INC. EIN 26-3768186 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $150K |
| EXPRESS SCRIPTS EIN 43-1420563 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $77K |
| IRON MOUNTAIN INC. EIN 23-2588479 NONE | Other services; Direct payment from the plan Service code 49 | — | $74K |
| ALAN D. BILLER & ASSOCIATES EIN 94-2854958 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $65K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $58K |
| SAFEGUARD BUSINESS SYSTEMS EIN 80-0426991 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $56K |
| U.S. BANK EIN 31-0841368 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $56K |
| HEALTHLINX, LLC EIN 87-0660214 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $49K |
| COMMUNICATE WRITE EIN 59-3821770 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $36K |
| STEPHEN HORN INSURANCE EIN 94-3249244 NONE | Insurance brokerage commissions and fees Service code 53 | — | $32K |
| WHEELER SONOMA PRINTERS EIN 86-1383444 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $30K |
| ALPHA PRESS EIN 94-2855338 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $27K |
| UNITED PARCEL SERVICE EIN 36-2407381 NONE | Other services; Direct payment from the plan Service code 49 | — | $26K |
| ERIC GOULDSBERRY ART DIRECTION EIN 77-0541381 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $18K |
| ONE RHYTHM LLC EIN 80-0812990 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $15K |
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 | 13,661 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,255 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 18,916 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 20,098 | $170.3M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 28,049 | $20.1M |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 10,907 | $157K |
| Prescription drug | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 2,925 | $7.3M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 4,341 | $2.0M |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 10,907 | $157K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 28,049 | — |
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.