No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS EIN 32-2383171 NONE | Contract Administrator; Copying and duplicating Service code 13 | — | $707K |
| DELTA DENTAL EIN 94-1461312 NONE | Claims processing Service code 12 | — | $255K |
| WEINBERG, ROGER & ROSENFIELD EIN 94-2458080 NONE | Legal Service code 29 | — | $185K |
| BLUE CROSS EIN 95-3760980 NONE | Other services; Claims processing Service code 12 | — | $134K |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing) Service code 10 | — | $122K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Consulting (general); Actuarial Service code 11 | — | $56K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing Service code 12 | — | $26K |
| ALLIED PRINTING COMPANY EIN 13-4233321 NONE | Copying and duplicating Service code 36 | — | $25K |
| MORGAN STANLEY WEALTH MANAGEMENT EIN 26-4310632 NONE | Investment advisory (plan); Custodial (securities); Direct payment from the plan Service code 19 | — | $15K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Other services Service code 49 | — | $9K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $7K |
| FREMONT BANK EIN 94-1707113 NONE | Custodial (other than securities) Service code 18 | — | $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 | 3,313 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 31 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,344 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 910 | $21.2M |
| Dental | SAFEGUARD HEALTH PLANS, INC. | 913 | $164K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 4,928 | $239K |
| Stop-loss / reinsurancereinsurance | RELIASTAR LIFE INSURANCE COMPANY | 796 | $1.3M |
| Other | RELIASTAR LIFE INSURANCE COMPANY | 3,311 | $39K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,928 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.