| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE SEGAL COMPANY3 Filed as: SEGAL COMPANY | 100 MONTGOMERY STREET, #500 SAN FRANCISCO, CA 94104 | WELLPOINT STOP LOSS | — | $271K | $271K | 5.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH SERVICES & BENEFIT ADMINISTR EIN 94-3084365 NONE | Contract Administrator; Direct payment from the plan; Claims processing; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $597K |
| THE SEGAL COMPANY, INC. EIN 94-1503999 NONE | Direct payment from the plan; Actuarial; Consulting (general); Insurance brokerage commissions and fees Service code 11 | — | $402K |
| GRAYSTONE CONSULTING/MORGAN STANLEY EIN 20-8764829 NONE | Investment advisory (plan); Named fiduciary; Direct payment from the plan; Securities brokerage Service code 27 | — | $316K |
| BENESYS EIN 38-2383171 NONE | Other commissions; Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $309K |
| ANTHEM BLUE CROSS EIN 95-3760980 NONE | Claims processing; Other services; Direct payment from the plan Service code 12 | — | $284K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461412 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $262K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $204K |
| WEINBERG, ROGER & ROSENFELD EIN 94-2458080 NONE | Legal; Direct payment from the plan Service code 29 | — | $138K |
| EYEMED NONE | Direct payment from the plan; Claims processing Service code 12 | 8570 WEST SUNSET BLVD WEST HOLLYWOOD, CA 90069 | $16K |
| ROAD RUNNER PRINTMAIL, INC. NONE | Direct payment from the plan; Other services Service code 49 | 100 RYAN INDUSTRIAL CT SAN RAMON, CA 94583 | $15K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $14K |
| FREMONT BANK EIN 94-1569025 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $13K |
| OPTUMRX, INC EIN 33-0441200 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $10K |
| TEAM ST INC EIN 47-2090829 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $9K |
| OPTUMRX, INC. | Other fees; Float revenue Service code 62 | — | $6K |
| SMART SOURCE LLC EIN 30-0830429 NONE | Direct payment from the plan; Copying and duplicating Service code 36 | — | $5K |
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 | 3,641 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 34 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,675 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD OF CALIFORNIA | 1,673 | $22.8M |
| Dental | SAFEGUARD HEALTH PLANS, INC. | 775 | $116K |
| Vision(3 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 4,307 | $362K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 3,593 | $556K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 1,673 | $22.8M |
| Stop-loss / reinsurancereinsurance | WELLPOINT STOP LOSS | 1,084 | $5.4M |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 3,593 | $556K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,731 | — |
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.