No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH SERVICES & BENEFIT ADMIN INC EIN 94-3089465 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $3.1M |
| ANTHEM BLUE CROSS OF CALIFORNIA EIN 95-4331852 NONE | Other services; Direct payment from the plan; Claims processing Service code 12 | — | $609K |
| HEALTH SERVICES FOUNDATION EIN 94-2260587 NONE | Direct payment from the plan; Other services Service code 49 | — | $266K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $188K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $135K |
| BEESON, TAYER & BODINE, APC EIN 94-3126136 NONE | Legal; Direct payment from the plan Service code 29 | — | $114K |
| HEALTHCARE STRATEGIES EIN 88-7396365 NONE | Direct payment from the plan; Other services Service code 49 | — | $74K |
| TRUCKER HUSS, APC EIN 94-3216063 NONE | Legal; Direct payment from the plan Service code 29 | — | $72K |
| TEAMSTERS ASST. REB. PLAN EIN 94-2875955 NONE | Direct payment from the plan; Other services Service code 49 | — | $43K |
| US BANK EIN 31-0841368 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan; Custodial (securities) Service code 19 | — | $28K |
| CVS CAREMARK EIN 05-0340626 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $23K |
| MEDEXPERT INTL. INC EIN 94-3360248 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $19K |
| ARRIN CONSULTING EIN 56-7982842 NONE | Claims processing; Consulting (general); 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 | — | $9K |
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 | 2,100 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,248 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,348 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 725 | $5.4M |
| Dental | HEALTH NET | 6 | $33K |
| Vision(2 contracts, 2 carriers) | VISION SERVICE PLAN | 1,856 | $297K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,841 | $25K |
| Prescription drug | UNITED HEALTHCARE INSURANCE COMPANY | 16 | $72K |
| Stop-loss / reinsurancereinsurance | ANTHEM LIFE INSURANCE | 1,530 | $3.3M |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 1,841 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,856 | — |
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.