No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS NONE | Contract Administrator; Direct payment from the plan Service code 13 | 1141 HARBOR BAY PKWY STE 100 ALAMEDA, CA 94502 | $659K |
| BLUE CROSS OF CALIFORNIA EIN 96-3760980 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $367K |
| NWPS EIN 91-2090931 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $321K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $145K |
| COSTCO RX NONE | Claims processing; Direct payment from the plan Service code 12 | 999 LAKE DR ISSAQUASH, WA 98027 | $84K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $77K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $65K |
| MATRIX TRUST COMPANY EIN 75-3182674 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $47K |
| VERUS EIN 91-1320111 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $44K |
| US BANK EIN 31-0841368 NONE | Custodial (other than securities); Investment management fees paid directly by plan Service code 18 | — | $40K |
| CRYSTAL CLEAR RX EIN 27-3009945 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $26K |
| UA LOCAL 246 EIN 94-0775057 SPONSOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $17K |
| UA LOCAL 442 EIN 94-1015453 SPONSOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $16K |
| NEYHART, ANDERSON, FLYNN & GROSBOL NONE | Legal; Direct payment from the plan Service code 29 | 369 PINE ST STE 800 SAN FRANCISCO, CA 94104 | $16K |
| THE LAW OFFICE OF MICHAEL E MOSS NONE | Legal; Direct payment from the plan Service code 29 | 201 SPEAR ST STE 1100 SAN FRANCISCO, CA 94105 | $14K |
| HENRY CHIU, ESQ. EIN 82-4894967 NONE | Legal; Direct payment from the plan Service code 29 | — | $11K |
| UA LOCAL 228 EIN 94-1493708 SPONSOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $11K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $10K |
| UA LOCAL 62 EIN 77-0376399 SPONSOR | Plan Administrator; Direct payment from the plan Service code 14 | — | $9K |
| CORPORATE MAIL SERVICE NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 1625 KNECHT AVE HALETHORPE, MD 21227 | $6K |
| UNION INSURANCE GROUP NONE | Insurance agents and brokers; Insurance brokerage commissions and fees Service code 22 | 303 W ERIE ST STE 310 CHICAGO, IL 60654 | $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 | 963 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 413 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,376 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE - AARP | 511 | $1.5M |
| Dental(2 contracts) | NEWPORT DENTAL | 43 | $48K |
| Vision(2 contracts, 2 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 1,277 | $221K |
| Stop-loss / reinsurancereinsurance | COMPANION LIFE INS CO OF CA | 763 | $615K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,277 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.