| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONE | — | KAISER FOUNDATION HEALTH PLAN INC | — | — | $0 | 0.00% |
| NONE | — | SYMETRA LIFE INSURANCE COMPANY | — | — | $0 | 0.00% |
| NONE | — | HEALTH NET | — | — | $0 | 0.00% |
| NONE | — | HARTFORD LIFE AND ACCIDENT | — | — | $0 | 0.00% |
| NONE | — | VISION SERVICE PLAN | — | — | $0 | 0.00% |
| NONE | — | PRINCIPAL FINANCIAL GROUP | — | — | $0 | 0.00% |
| NONE | — | UNITEDHEALTHCARE OF CALIFORNIA | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED ADMINISTRATIVE SERVICES EIN 94-1749354 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $726K |
| BLUE CROSS EIN 95-3760980 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $325K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $140K |
| KRAW LAW GROUP EIN 77-0171216 NONE | Legal; Direct payment from the plan Service code 29 | — | $96K |
| CONCENTRA PREFERRED SYSTEMS EIN 36-3715258 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $87K |
| J HERRLE EIN 93-0692196 NONE | Consulting (general); Direct payment from the plan; Insurance brokerage commissions and fees Service code 16 | — | $72K |
| FIRST DENTAL HEALTH EIN 33-0655193 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $57K |
| ALLIANCE BERNSTEIN NONE | Investment management; Investment management fees paid directly by plan Service code 28 | 1345 AVENUE OF THE AMERICAS NEW YORK, NY 10105 | $51K |
| LOOMIS SAYLES NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 4 ORINIDA WAY, SUITE 200-A ORINIDA, CA 94563 | $49K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $47K |
| BEAT IT EIN 77-0111619 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $47K |
| PARAMETRIC NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 800 FIFTH AVE, SUITE 2800 SEATTLE, WA 98104 | $40K |
| VOYA INVESTMENT MANAGEMENT EIN 06-1440627 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $38K |
| NWPS NONE | Direct payment from the plan; Actuarial Service code 11 | 4025 DELRIDGE WAY SW, STE. 250 SEATTLE, WA 98106 | $36K |
| PHARMACEUTICAL STRATEGIES GROUP NONE | Consulting (general); Direct payment from the plan Service code 16 | 5360 LEGACY DR, BULDING 3, SUITE 23 PLANO, TX 75024 | $33K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $25K |
| MATRIX FINANCIAL SOLUTIONS EIN 75-3182674 NONE | Float revenue; Investment management fees paid directly by plan; Investment management Service code 28 | — | $23K |
| IBEW LOCAL 332 EIN 94-0577280 NONE | Direct payment from the plan; Plan Administrator Service code 14 | — | $13K |
| MAXOR NONE | Claims processing; Direct payment from the plan Service code 12 | 320 S. POLK STREET 200 AMARILLO, TX 79101 | $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 | 2,430 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,011 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 3,441 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH NET | 210 | $1.1M |
| Vision | VISION SERVICE PLAN | 3,252 | $432K |
| Life insurance | PRINCIPAL FINANCIAL GROUP | 3,935 | $250K |
| Stop-loss / reinsurancereinsurance | SYMETRA LIFE INSURANCE COMPANY | 1,023 | $2.0M |
| Other | HARTFORD LIFE AND ACCIDENT | 157 | $524K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,688 | — |
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.