| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BENEFITMALL3 | 2111 E. HIGHLAND AVE PHOENIX, AZ 85016 | THE UNION LABOR LIFE INSURANCE COMPANY | $58K | — | $58K | 3.03% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| TITAN INSURANCE ADMINISTRATORS, INC EIN 92-3041544 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $9.4M |
| ANTHEM BLUE CROSS LIFE HEALTH INSUR EIN 95-4331852 NONE | Claims processing; Direct payment from the plan; Other services Service code 12 | — | $1.0M |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $727K |
| BEESON, TAYER & BODINE APC EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $332K |
| TEAMSTER'S ASSISTANCE PROGRAM EIN 68-0048516 NONE | Other services; Direct payment from the plan Service code 49 | — | $314K |
| LABOR FIRST LLC EIN 06-1750191 NONE | Contract Administrator; Plan Administrator; Insurance agents and brokers; Other services; Insurance services Service code 13 | — | $308K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $292K |
| CARELONRX EIN 82-3062245 NONE | Other fees; Float revenue; Direct payment from the plan; Claims processing Service code 12 | — | $269K |
| ULLICO EIN 13-1423090 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $244K |
| HEALTH MANAGEMENT CONCEPTS EIN 75-3189468 NONE | Other services; Direct payment from the plan Service code 49 | — | $188K |
| 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 | — | $168K |
| ALAN BILLER & ASSOCIATES EIN 94-2854958 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $154K |
| IRON MOUNTAIN INC. EIN 23-2588479 NONE | Other services; Direct payment from the plan Service code 49 | — | $117K |
| JP MORGAN INVESTMENT MANAGEMENT EIN 13-3200244 NONE | Investment management fees paid directly by plan; Direct payment from the plan; Investment advisory (plan); Investment management fees paid indirectly by plan; Investment management Service code 27 | — | $117K |
| HEALTHLINX, LLC EIN 87-0660214 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $80K |
| U.S. BANK NATIONAL ASSOCIATON EIN 31-0841368 NONE | Direct payment from the plan; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $79K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $63K |
| BKC VENTURES INC EIN 83-2018068 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $61K |
| STEPHEN HORN INSURANCE SERVICES EIN 94-3249244 NONE | Insurance brokerage commissions and fees Service code 53 | — | $34K |
| PACIFIC STANDARD PRESS EIN 76-0190827 NONE | Direct payment from the plan; Participant communication Service code 38 | — | $33K |
| SAFEGUARD BUSINESS SYSTEMS EIN 80-0426991 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $22K |
| RR DONNELLEY EIN 36-1004130 NONE | Other services; Direct payment from the plan Service code 49 | — | $21K |
| MAILING SYSTEMS INC. EIN 68-0257715 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $20K |
| WESTERN HEALTH CARE COALITION INC. EIN 93-1223249 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $18K |
| MEDEXPERT EIN 94-3360248 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $14K |
| ONE RHYTHM LLC EIN 80-0812990 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $9K |
| UNITED PARCEL SERVICE, INC. EIN 36-2407381 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
| ERIC GOULDSBERRY ART DIRECTION EIN 77-0541381 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
| WHEELER SONOMA PRINTERS EIN 86-1383444 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $7K |
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 | 11,818 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,157 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 16,975 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 19,865 | $222.7M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 28,588 | $20.2M |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 10,763 | $196K |
| Prescription drug | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | 3,154 | $9.1M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 4,245 | $1.9M |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 10,763 | $196K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 28,588 | — |
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.