| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY Filed as: SEGAL CONSULTING | 180 HOWARD STREET, SUITE 1100 SAN FRANCISCO, CA 94105 | THE UNION LABOR LIFE INSURANCE COMPANY | $10K | — | $10K | 0.39% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH SERVICES & BENEFIT ADMIN EIN 94-3089465 NONE | Claims processing; Accounting (including auditing); Contract Administrator; Direct payment from the plan; Participant communication; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 10 | — | $940K |
| BLUE CROSS OF CALIFORNIA EIN 95-3760980 NONE | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $384K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $101K |
| BEESON, TAYER, & BODINE EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $70K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $40K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $39K |
| TEAMSTERS ASSISTANCE PROGRAM EIN 68-0048516 NONE | Other services; Direct payment from the plan Service code 49 | — | $37K |
| MCMORGAN & COMPANY EIN 52-2334388 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $36K |
| FREMONT BANK EIN 94-1569025 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $11K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $10K |
| JM RESOURCES, COMPANY NONE | Copying and duplicating; Direct payment from the plan Service code 36 | 790 MAUDE AVENUE SAN LEADRO, CA 94577 | $5K |
| TRAVELERS | Insurance brokerage commissions and fees Service code 53 | — | $3K |
| THE UNION LABOR LIFE INSURANCE COMP | Insurance brokerage commissions and fees Service code 53 | — | $3K |
| SEGAL SELECT INSURANCE COMPANY EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $0 |
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 | 1,880 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 732 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,612 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN, INC. | 2,253 | $15.0M |
| Life insurance | RELIASTAR INSURANCE COMPANY | 5,124 | $118K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,131 | $2.6M |
| Other | RELIASTAR INSURANCE COMPANY | 5,124 | $118K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,124 | — |
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.