| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONE | — | KAISER FOUNDATION HEALTH PLAN INC | — | — | $0 | 0.00% |
| STOP LOSS INSURANCE SERVICES, INC.3 Filed as: STOP LOSS INSURANCE SERVICES INC. | 940 ADAMS STREET, SUITE G BENICIA, CA 94510 | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | $63K | $28K | $91K | 14.50% |
| NONE | — | UNITEDHEALTHCARE INSURANCE COMPANY | — | — | $0 | 0.00% |
| STOP LOSS INSURANCE SERVICES, INC.3 Filed as: STOP LOSS INSURANCE SERVICES INC. | 940 ADAMS STREET, SUITE G BENICIA, CA 94510 | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | $10K | $5K | $15K | 14.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HS&BA EIN 94-3089465 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $247K |
| ANTHEM BLUE CROSS EIN 95-3760980 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $136K |
| BEESON, TAYLOR & BODINE EIN 94-2148509 NONE | Legal; Direct payment from the plan Service code 29 | — | $63K |
| MCMORGAN & CO. NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 1 FRONT STREET, SUITE 500 SAN FRANCISCO, CA 94111 | $57K |
| HEALTHLINX LLC NONE | Direct payment from the plan; Other services Service code 49 | 1404 GOODALE BLVD., STE 400 COLUMBUS, OH 43212 | $52K |
| HORIZON ACTUARIAL SERVICES, LLC EIN 38-3647875 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $46K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $38K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $34K |
| TEAMSTERS ASSISTANCE PROGRAM EIN 94-2825071 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $22K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $14K |
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 | 961 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 961 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 514 | $280K |
| Stop-loss / reinsurancereinsurance(2 contracts) | PARTNERRE AMERICA INSURANCE COMPANY (PRAIC) | 584 | $732K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,092 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.