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 pricingThe primary broker changed. The plan may listen to a new pitch.
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.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
Broker: None HMO | HMO | |
Broker: Img Life | Life | |
Broker: Carl W. Romstadt DentalHMO | DentalHMO |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 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 | 24,921 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 24,921 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | LIBERTY DENTAL PLAN OF CALIFORNIA, INC | 333 | $45K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 98,393 | $2.0M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 98,393 | - |
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 |
|---|---|
None Carrier: Kaiser Foundation Health Plan | |
Carrier: Prudential Insurance Company of America | |
Carrier: Liberty Dental Plan of California, Inc |
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UFCW GROUP ADMINISTRATION LLC EIN 26-0048379 SALARIED ADMINISTRATOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $14.2M |
| BLUE SHIELD OF CALIFORNIA EIN 94-0360524 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $3.4M |
| SOLIDARITUS EIN 87-3068107 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $2.5M |
| DELTA DENTAL EIN 94-1461312 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $724K |
| ELIXIR EIN 90-1011712 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $717K |
| MEDEXPERT INTERNATIONAL INC EIN 94-3360248 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $686K |
| QUEST DIAGNOSTIC EIN 20-1908041 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $559K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $533K |
| HORIZON ACTUARIAL SERVICES, LLC EIN 38-3647875 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $510K |
| SEGAL COMPANY EIN 94-1503999 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $449K |
| UFCW LOCAL 5 EIN 20-8028546 SPONSOR | Direct payment from the plan; Contract Administrator Service code 13 | — | $306K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $259K |
| SEYFARTH & SHAW EIN 36-2152202 NONE | Direct payment from the plan; Legal Service code 29 | — | $225K |
| ULLICO INVESTMENT ADVISORS INC. EIN 52-6435649 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $222K |
| MCCRACKEN, STEMMERMAN & HOLSBERRY EIN 94-1709555 NONE | Direct payment from the plan; Legal Service code 29 | — | $158K |
| NEW ENGLAND PENSION CONSULTANTS EIN 26-1429809 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $113K |
| PHARMACY BENEFIT SOLUTIONS EIN 47-0866096 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $95K |
| JACE MARKETING SOLUTIONS EIN 27-2412041 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $79K |
| PRUDENTIAL INSURANCE COMPANY EIN 22-1211870 NONE | Direct payment from the plan; Insurance agents and brokers; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $65K |
| UFCW LOCAL 8 EIN 94-0801845 SPONSOR | Contract Administrator; Direct payment from the plan Service code 13 | — | $54K |
| LABCORP EIN 83-3697312 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $48K |
| LORD ABBETT EIN 13-5620131 NONE | Investment management fees paid indirectly by plan; Investment management Service code 28 | — | $45K |
| CIGNA EIN 59-1031071 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $42K |
| HUDSON EDGE INVESTMENT PARTNERS EIN 52-1296988 NONE | Soft dollars commissions; Investment management; Investment management fees paid indirectly by plan Service code 28 | — | $31K |
| NORTHERN TRUST EIN 36-2723087 NONE | Direct payment from the plan; Custodial (securities) Service code 19 | — | $11K |
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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11 filings · 2015 to 2025