No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH SERVICES & BENEFIT ADMIN INC EIN 94-3089465 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $3.1M |
| ANTHEM BLUE CROSS OF CALIFORNIA EIN 95-4331852 NONE | Direct payment from the plan; Other services; Claims processing Service code 12 | — | $548K |
| HEALTH SERVICES FOUNDATION EIN 94-2260587 NONE | Other services; Direct payment from the plan Service code 49 | — | $281K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $178K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $135K |
| BEESON, TAYER & BODINE, APC EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $79K |
| HEALTHCARE STRATEGIES EIN 88-7396365 NONE | Other services; Direct payment from the plan Service code 49 | — | $58K |
| US BANK EIN 31-0841368 NONE | Trustee (bank, trust company, or similar financial institution); Other services; Direct payment from the plan; Investment management fees paid indirectly by plan; Custodial (securities) Service code 19 | — | $52K |
| TRUCKER HUSS, APC EIN 94-3216063 NONE | Legal; Direct payment from the plan Service code 29 | — | $49K |
| TEAMSTERS ASST. REB. PLAN EIN 94-2875955 NONE | Other services; Direct payment from the plan Service code 49 | — | $42K |
| ARRIN CONSULTING EIN 56-7982842 NONE | Claims processing; Direct payment from the plan; Consulting (general) Service code 12 | — | $19K |
| CAREMARK EIN 95-3382344 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $19K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $13K |
| SEGAL SELECT INSURANCE SERVICES EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $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 | 1,869 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,304 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,173 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,476 | $6.2M |
| Dental | HEALTH NET | 7 | $61K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 1,812 | $321K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,810 | $23K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 18 | $80K |
| Stop-loss / reinsurancereinsurance | ANTHEM LIFE INSURANCE | 1,520 | $2.9M |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,810 | $23K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,812 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
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.