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No Schedule C service providers reported on this filing.
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 | 3,626 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 282 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 90 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,998 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | AETNA HEALTH, INC. | 7,146 | $73.7M |
| Dental | DELTA DENTAL OF CALIFORNIA | 1,392 | $207K |
| Vision | UNIVERSITY HEALTH ALLIANCE | 2 | $13K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 12,299 | $2.5M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 12,299 | $2.5M |
| Prescription drug | UNIVERSITY HEALTH ALLIANCE | 2 | $13K |
| Other(6 contracts, 5 carriers) | CONCERN EAP | 5,892 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12,299 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.