Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingTotal premium grew more than 20% over the prior year. The plan is a good candidate to re-shop its carriers.
Broker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthHMO | HealthHMO | |
Broker: Stealth Partner Group LLC Stop-loss | Stop-loss | |
Vision | Vision | |
Dental | Dental | |
Dental | Dental | |
Dental | Dental | |
LifeOther | LifeOther |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 9 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 1,978 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,994 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts) | KAISER FOUNDATION HEALTH PLAN, INC. | 2,225 | $40.0M |
| Dental(3 contracts, 3 carriers) | DELTA DENTAL OF CALIFORNIA | 672 | $357K |
| Vision | VISION SERVICE PLAN | 1,977 | $248K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,978 | $83K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 419 | $1.2M |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,978 | $83K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,225 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
| Broker | Commissions |
|---|---|
Carrier: Reliastar Life Insurance Company |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH SRVCS & BNFT ADMINISTRATORS EIN 94-3089465 NONE | Claims processing; Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | — | $1.1M |
| WITHUMSMITH+BROWN, P.C. EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $214K |
| RAEL & LETSON EIN 94-1701048 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $140K |
| ANTHEM BLUE CROSS OF CALIFORNIA EIN 95-4331852 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $134K |
| BEESON, TAYER, AND BODINE APC EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $86K |
| RBC WEALTH MANAGEMENT EIN 20-0563684 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $65K |
| TEAMSTERS ASSISTANCE PROGRAM EIN 68-0048516 NONE | Direct payment from the plan; Other services Service code 49 | — | $60K |
| ABBCO PRINTING EIN 94-1553665 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $35K |
| HINGE HEALTH, INC. EIN 81-1884841 NONE | Other services; Direct payment from the plan Service code 49 | — | $33K |
| PREMIER ACCESS INSURANCE COMPANY EIN 91-1857813 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $19K |
| FREMONT BANK EIN 94-1569025 NONE | Direct payment from the plan; Other services Service code 49 | — | $13K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $6K |
| JUAN GALLO EIN 94-6072964 TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $6K |
| TONY DELORIO EIN 94-6072964 TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $6K |
| FLORENCIO SINOGUI EIN 94-6072964 TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $6K |
| JASON FINCH EIN 94-6072964 TRUSTEE | Trustee (individual); Direct payment from the plan Service code 20 | — | $5K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
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10 filings · 2016 to 2025