No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| XEROX CORPORATION EIN 16-0468020 NONE | Account maintenance fees Service code 65 | — | $619K |
| MELLON CAPITAL MANAGEMENT EIN 25-1442864 NONE | Investment management Service code 28 | — | $187K |
| GIA PARTNERS EIN 27-0498438 NONE | Investment management Service code 28 | — | $99K |
| HOLMAN PROFESSIONAL COUNSELING EIN 95-3943478 NONE | Account maintenance fees; Claims processing Service code 12 | — | $37K |
| THE BANK OF NEW YORK MELLON EIN 13-5160382 NONE | Custodial (other than securities) Service code 18 | — | $31K |
| PACIFIC INVESTMENT MANAGEMENT EIN 33-0629048 NONE | Investment management Service code 28 | — | $27K |
| LEGAL & GENERAL INVESTMENT EIN 20-8058531 NONE | Investment management Service code 28 | — | $26K |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2,850 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 733 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,583 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 1,461 | $24.3M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 2,325 | $1.2M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 3,183 | $727K |
| Other | KAISER FOUNDATION HEALTH PLAN INC | 448 | $3.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,183 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.