| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE MILLIMAN AGENCY INC3 Filed as: MILLIMAN AGENCY | 650 CALIFORNIA STREET, FL 17 SAN FRANCISCO, CA 941082721 | KAISER FOUNDATION HEALTH PLAN NO CALIFORNIA | $0 | $89 | $89 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Claims processing; Consulting fees Service code 12 | — | $22.9M |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE | Claims processing Service code 12 | — | $4.3M |
| ILWU-PMA BENEFIT PLANS OFFICE EIN 94-6068578 EMPLOYEES | Direct payment from the plan; Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $4.2M |
| LEONARD CARDER, LLP EIN 94-2819269 NONE | Legal Service code 29 | — | $2.6M |
| NIXON PEABODY LLP EIN 16-0764720 NONE | Legal Service code 29 | — | $2.4M |
| KNOX RICKSEN LLP EIN 94-1545786 NONE | Legal Service code 29 | — | $2.0M |
| BLUE SHIELD OF CALIFORNIA EIN 94-0360524 NONE | Other fees Service code 99 | — | $2.0M |
| SEYFARTH SHAW LLP EIN 36-2152202 NONE | Legal Service code 29 | — | $1.9M |
| DELTA DENTAL EIN 91-1461312 NONE | Claims processing Service code 12 | — | $1.7M |
| CHANGE HEALTHCARE SOLUTIONS, LLC EIN 20-5716594 NONE | Copying and duplicating Service code 36 | — | $846K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Actuarial; Consulting fees Service code 11 | — | $645K |
| INNOVATIVE DISCOVERY EIN 11-3756416 NONE | Consulting fees Service code 70 | — | $626K |
| ALVAREZ & MARSAL DISPUTES & INVESTI EIN 56-2409465 NONE | Consulting fees Service code 70 | — | $453K |
| SCHWARTZ AND CERA LLP EIN 94-3262249 NONE | Legal Service code 29 | — | $397K |
| MEDICAL REVIEW INSTITUTE OF AMERICA EIN 87-0515201 NONE | Consulting fees Service code 70 | — | $357K |
| HINSHAW & CULBERTSON EIN 36-2128133 NONE | Legal Service code 29 | — | $356K |
| PRICEWATERHOUSECOOPERS LLP EIN 13-4008324 NONE | Accounting (including auditing) Service code 10 | — | $270K |
| FIRST CHOICE HEALTH EIN 91-1272766 NONE | Other fees Service code 99 | — | $262K |
| UNION BANK EIN 94-0304228 NONE | Other fees Service code 99 | — | $220K |
| AMERICAN ARBITRATION ASSOCIATION EIN 13-0429745 NONE | Legal Service code 29 | — | $215K |
| KOHLBACHER CONSULTING, LLC NONE | Consulting fees Service code 70 | E PONDEROSA DR FOUNTAIN HILLS, AZ 85268 | $158K |
| PACIFIC MARITIME ASSOCIATION EIN 94-1126322 EMPLOYER ASSOCIATION | Accounting (including auditing) Service code 10 | — | $126K |
| ACAG CONSULTING LLC EIN 46-5712787 NONE | Consulting fees Service code 70 | — | $101K |
| IMS EXPERT SERVICES EIN 84-1204705 NONE | Consulting fees Service code 70 | — | $98K |
| MAGELLAN BEHAVIORAL HEALTH INC EIN 52-2135463 NONE | Other fees Service code 99 | — | $98K |
| ROUND TABLE GROUP EIN 83-2582628 NONE | Consulting fees Service code 70 | — | $97K |
| HEALTH STRATEGY LLC EIN 20-4944393 NONE | Consulting fees Service code 70 | — | $87K |
| CHIROPRACTIC HEALTH PLAN OF CA EIN 77-0134508 NONE | Other fees Service code 99 | — | $80K |
| OPTUMRX, INC EIN 33-0441200 NONE | Other fees Service code 99 | — | $51K |
| UNION OFFSET, INC. EIN 94-2954408 NONE | Copying and duplicating Service code 36 | — | $45K |
| SPI SERVICES, INC. EIN 26-1618898 NONE | Consulting fees Service code 70 | — | $35K |
| CHIROPRACTIC RESEARCH ASSOCIATES EIN 95-4241251 NONE | Consulting fees Service code 70 | — | $35K |
| INNOVATIVE SOFTWARE SOLUTIONS, INC. EIN 23-2182079 NONE | Direct payment from the plan; Consulting fees Service code 50 | — | $35K |
| GAIL LORENTZ NONE | Consulting (general) Service code 16 | 614 BELLE AVE SAN RAFAEL, CA 94901 | $31K |
| LAW OFFICES OF JOHN KAGEL EIN 77-0439762 NONE | Legal Service code 29 | — | $30K |
| ACCOUNTABLE CARE MANAGEMENT SYSTEMS EIN 45-2596087 NONE | Consulting fees Service code 70 | — | $22K |
| EPIQ EDISCOVERY SOLUTIONS INC EIN 13-3865009 NONE | Consulting fees Service code 70 | — | $18K |
| CODING CONTINUUM INC. EIN 86-0993833 NONE | Consulting fees Service code 70 | — | $16K |
| DAVID E. SMITH, M.D. EIN 94-3124932 NONE | Consulting fees Service code 70 | — | $15K |
| VERITEXT EIN 20-3132569 NONE | Consulting fees Service code 70 | — | $14K |
| AGAIN IN TIME EIN 47-2979502 NONE | Consulting fees Service code 70 | — | $13K |
| RUDY BEDFORD MD LLC EIN 82-3467912 NONE | Consulting fees Service code 70 | — | $12K |
| M.P. RADOCY EIN 94-3001326 NONE | Consulting fees Service code 70 | — | $8K |
| NATIONWIDE LEGAL, LLC EIN 20-8284527 NONE | Other fees Service code 99 | — | $8K |
| MARYA A. D'ABATE NONE | Consulting (general) Service code 16 | 1400 GEARY BLVD, NO 1510 SAN FRANCISCO, CA 94109 | $6K |
| AFFECTRX LLC EIN 45-4427662 NONE | Consulting fees Service code 70 | — | $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 | 14,972 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5,514 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 20,486 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN SO CALIFORNIA | 10,040 | $137.8M |
| Dental(7 contracts, 7 carriers) | DELTA DENTAL OF CALIFORNIA | 38,991 | $36.4M |
| Vision | VISION SERVICE PLAN | 39,449 | $7.8M |
| Life insurance | CIGNA LIFE INSURANCE CO. OF NORTH AMERICA | 20,486 | $5.2M |
| Prescription drug(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN SO CALIFORNIA | 10,040 | $137.8M |
| Other | CIGNA LIFE INSURANCE CO. OF NORTH AMERICA | 20,486 | $459K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 39,449 | — |
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.