No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTH SERVICES & BENEFIT ADMINISTR EIN 94-3089465 NONE | Participant communication; Accounting (including auditing); Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Copying and duplicating; Claims processing; Direct payment from the plan Service code 10 | — | $129K |
| U.A. LOCAL 159 EIN 94-0944925 SPONSORING LOCAL | Direct payment from the plan; Plan Administrator Service code 14 | — | $100K |
| RAEL & LETSON EIN 94-1701048 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $68K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $47K |
| KRAW & KRAW LAW GROUP EIN 77-0171216 NONE | Legal; Direct payment from the plan; Copying and duplicating Service code 29 | — | $33K |
| BANK OF AMERICA EIN 94-1687665 NONE | Direct payment from the plan; Custodial (other than securities) Service code 18 | — | $15K |
| ALAN D. BILLER & ASSOCIATES EIN 94-2854958 NONE | Investment advisory (plan); Consulting (pension); Direct payment from the plan Service code 17 | — | $8K |
| WEX HEALTH NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | 82 HOPMEADOW STREET SIMSBURY, CT 06089 | $7K |
| SONOMA WHEELER NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 836 SONOMA BLVD. VALLEJO, CA 94590 | $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 | 279 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 134 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 413 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 146 | $1.8M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 830 | $603K |
| Vision | VISION SERVICE PLAN | 382 | $47K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 382 | $33K |
| Prescription drug(2 contracts, 2 carriers) | BLUE SHIELD OF CALIFORNIA | 146 | $1.8M |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 246 | $5K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 832 | — |
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.