| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STOP LOSS INSURANCE SERVICES, INC.3 | 940 ADAMS STREET, SUITE G BENICIA, CA 94510 | WESTPORT INSURANCE CORPORATION | $31K | — | $31K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Direct payment from the plan; Copying and duplicating; Contract Administrator Service code 13 | — | $455K |
| ANTHEM, INC. EIN 95-3760980 NONE | Direct payment from the plan; Insurance services Service code 23 | — | $97K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $93K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $65K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $40K |
| BEESON, TAYER & BODINE, APC EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $38K |
| MANAGED HEALTH NETWORK EIN 95-4146179 NONE | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $38K |
| ALAN BILLER AND ASSOCIATES EIN 94-2854958 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $23K |
| TEAMSTERS ASSISTANCE PROGRAM EIN 68-0048516 NONE | Direct payment from the plan; Other services Service code 49 | — | $22K |
| CITY NATIONAL BANK EIN 95-1780067 NONE | Other services; Custodial (other than securities); Direct payment from the plan Service code 18 | — | $19K |
| ZELIS CLAIMS INTEGRITY, LLC EIN 86-1040704 NONE | Other services; Direct payment from the plan Service code 49 | — | $17K |
| A&S FINANCIAL SERVICES, LLC NONE | Other services; Direct payment from the plan Service code 49 | 2 S. UNIVERSITY DRIVE, SUITE 330 PLANTATION, FL 33324 | $16K |
| DON HOPKINS TRUSTEE | Direct payment from the plan; Trustee (individual); Named fiduciary Service code 20 | 1600 HARBOR BAY PARKWAY, STE 200 ALAMEDA, CA 94502 | $10K |
| CORPORATE MAIL SERVICE LLC EIN 46-2336568 NONE | Copying and duplicating; Other services; Direct payment from the plan Service code 36 | — | $9K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Direct payment from the plan; Other services Service code 49 | — | $9K |
| OPTUM RX, INC. EIN 33-0441200 NONE | Other fees; Float revenue; Direct payment from the plan; Claims processing Service code 12 | — | $9K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $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 | 1,014 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 597 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,611 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,846 | $10.9M |
| Dental | NEWPORT DENTAL PLAN | 83 | $56K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 1,354 | $139K |
| Stop-loss / reinsurancereinsurance | WESTPORT INSURANCE CORPORATION | 524 | $616K |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 1,354 | $139K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,846 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.