| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HYSSOP3 | 22962 SONRIENTE TRAIL COTO DE CAZA, CA 92679 | VAULT ADMIN SERVICES | — | $1.8M | $1.8M | 35.00% |
| VAULT ADMIN SERVICES5 | 501 S TOWANDA BARNES RD, STE3 BLOOMINGTON, IL 61705 | VAULT ADMIN SERVICES | — | $521K | $521K | 10.00% |
| SSMMC3 | 23 VERDUN ST WATERVLIET, NY 12189 | VAULT ADMIN SERVICES | — | $156K | $156K | 3.00% |
| CCPOA BENEFIT TRUST FUND5 | 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO, CA 95833 | NEW YORK LIFE INSURANCE COMPANY | — | $751K | $751K | 25.00% |
| CCPOA BENEFIT TRUST FUND5 | 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO, CA 95833 | NEW YORK LIFE INSURANCE COMPANY | — | $641K | $641K | 25.00% |
| CCPOA BENEFIT TRUST FUND5 | 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO, CA 95833 | NEW YORK LIFE INSURANCE COMPANY | — | $604K | $604K | 25.00% |
| CCPOA BENEFIT TRUST FUND5 | 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO, CA 95833 | NEW YORK LIFE INSURANCE COMPANY | — | $56K | $56K | 25.00% |
| CCPOA BENEFIT TRUST FUND5 | 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO, CA 95833 | NEW YORK LIFE INSURANCE COMPANY | — | $43K | $43K | 25.00% |
| CCPOA BENEFIT TRUST FUND5 | 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO, CA 95833 | NEW YORK LIFE INSURANCE COMPANY | — | $23K | $23K | 25.00% |
| JEFFREY REYNOLDS3 | 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO, CA 95833 | JACKSON NATIONAL LIFE INSURANCE COMPANY | $28 | — | $28 | 15.30% |
| CCPOA BENEFIT TRUST FUND5 | 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO, CA 95833 | FIDELITY SECURITY LIFE | $6 | — | $6 | 3.85% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BRIDGEWAY BENEFIT TECHNOLOGIES EIN 52-1796473 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $315K |
| BENJAMIN SYBESMA EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $307K |
| GUADALUPE RUIZ EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $286K |
| DANIEL BEAMAN EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $275K |
| JAMES BAUMILLER EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $240K |
| SHANA POWELL EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $174K |
| PETER SANDS EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $157K |
| JORDAN BARGAS EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $147K |
| ANGELA MURILLO EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $145K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $139K |
| TRUCKER HUSS, APC EIN 94-3216063 NONE | Legal; Direct payment from the plan Service code 29 | — | $137K |
| SELLWOOD CONSULTING LLC EIN 80-0827237 NONE | Investment advisory (plan); Direct payment from the plan Service code 27 | — | $134K |
| KATHRYN KNIGHT EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $131K |
| JOTI CHAND EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $128K |
| LYNN NOLAND EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $122K |
| MICHAEL JUAREZ EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $122K |
| CADEE OHANESIAN EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $118K |
| AMY LIVINGSTONE EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $117K |
| MELISSA GRANDY EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $117K |
| SHALLY SINGH EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $116K |
| KEVIN SMALLEY EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $115K |
| MARIETTA TANGUILEG EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| VERONICA SAMPSON EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $112K |
| ZELIS PAYMENTS HOLDINGS, LLC EIN 84-3069529 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $112K |
| STEVEN HALL EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $110K |
| GERROLD EATON EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $109K |
| TONI VENEGAS EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $104K |
| MELISSA ORTIZ EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $104K |
| HYSSOP INC EIN 38-4166792 NONE | Other services; Direct payment from the plan Service code 49 | — | $98K |
| TERESA CONDON EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $98K |
| COLBEY GONSAVLES EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| JA'NICE CARLEY EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $94K |
| NESTOR FARIAS EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $89K |
| KAILYNN NEWSON EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $86K |
| PITNEY BOWES NONE | Direct payment from the plan; Copying and duplicating Service code 36 | P.O. BOX 981039 BOSTON, MA 022981039 | $82K |
| ASHLEY ALLEN EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $81K |
| MEREDITH KING EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $74K |
| TAKI BRANDON EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $72K |
| PASHILA LY EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $69K |
| PREMIER PRINT & MAIL NONE | Direct payment from the plan; Other services Service code 49 | 2615 DEL MONTE ST SACRAMENTO, CA 95691 | $53K |
| THE SEGAL COMPANY (WESTERN STATES) EIN 94-1503999 NONE | Consulting (general); Direct payment from the plan; Actuarial Service code 11 | — | $48K |
| SOFTCHOICE CORPORATION NONE | Consulting (general); Direct payment from the plan Service code 16 | 915 BROADWAY SUITE 1005 NEW YORK, NY 10010 | $40K |
| JESSICA RILEY EIN 94-6459649 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | — | $36K |
| SEGAL SELECT INSURANCE SERVICES INC EIN 46-0619194 NONE | Insurance brokerage commissions and fees Service code 53 | — | $34K |
| RING CENTRAL INC NONE | Other services; Direct payment from the plan Service code 49 | 20 DAVIS DRIVE BELMONT, CA 94002 | $33K |
| R.G. BUILDING MAINTENANCE NONE | Direct payment from the plan; Other services Service code 49 | 2701 DEL PASO ROAD 130-260 SACRAMENTO, CA 95835 | $33K |
| LORETTA DOOLEY EIN 94-6459649 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | — | $32K |
| BLYTHECO INC EIN 33-0784232 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan Service code 15 | — | $29K |
| SHEPPARD MULLIN RICHTER & HAMPTON EIN 95-1463164 NONE | Legal; Direct payment from the plan Service code 29 | — | $19K |
| CARSON LANDSCAPE INDUSTRIES NONE | Other services; Direct payment from the plan Service code 49 | 9530 ELDER CREEK ROAD SACRAMENTO, CA 95829 | $19K |
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 | 26,876 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16,727 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 43,603 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | VAULT ADMIN SERVICES | 7,918 | $5.2M |
| Life insurance(6 contracts, 3 carriers) | NEW YORK LIFE INSURANCE COMPANY | 19,520 | $8.1M |
| Other(5 contracts, 3 carriers) | NEW YORK LIFE INSURANCE COMPANY | 19,520 | $3.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 19,520 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.