Filings through .
History & trajectory Charts need 2 or more years. This plan has 10 years on file. Pro shows premium, premium per covered life, covered lives and carrier and broker share for every year.
See pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
Premium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthHMO | HealthHMO | |
HealthDental | HealthDental | |
Life | Life |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 3 contracts with Pro. Pro is free for 7 days and then costs $49 a month.
These benefits are declared on the Form 5500 main form. A ✓ means the benefit also has a Schedule A insurance contract. Without one, plan assets or a Schedule C TPA fund the benefit.
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 3,854 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,854 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 2,257 | $17.1M |
| Dental | SIMNSA | 2,257 | $6.5M |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 2,057 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,257 | - |
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 instead of this filer's headcount. We show the row, but it does not count the people in this plan.
Brokers paid through Schedule A and service providers paid through Schedule C.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SAV RX PRESCRIPTION SERVICES EIN 86-1323040 NONE | Claims processing Service code 12 | — | $1.9M |
| MARATHON HEALTH EIN 26-0103977 NONE | Other services Service code 49 | — | $1.9M |
| DENTWELL (DBA SYLVASON LLC) EIN 99-4952135 NONE | Other services Service code 49 | — | $1.7M |
| BENESYS ADMINISTRATORS EIN 38-2383171 NONE | Direct payment from the plan; Other fees; Plan Administrator; Claims processing Service code 12 | — | $649K |
| ANTHEM BLUE CROSS LIFE & HEALTH INS EIN 95-4331852 NONE | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $527K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general) Service code 16 | — | $62K |
| MCCRACKEN, STEMERMAN & HOLSBER EIN 94-1709555 NONE | Legal Service code 29 | — | $60K |
| WALKING S, INC. DBA STITCH MKTG RES NONE | Other services; Direct payment from the plan Service code 49 | 1420 KETTNER BLVD STE 216 SAN DIEGO, CA 92101 | $55K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing) Service code 10 | — | $34K |
| ALLIANT INSURANCE SERVICES, INC EIN 33-0785439 NONE | Consulting (general) Service code 16 | — | $26K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Contract Administrator Service code 13 | — | $26K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Investment advisory (plan) Service code 27 | — | $23K |
| IRON MOUNTAIN INFORMATION MGMT, LLC EIN 04-3038590 NONE | Direct payment from the plan; Other services Service code 49 | — | $23K |
| AMALGAMATED EIN 13-4920330 NONE | Custodial (securities) Service code 19 | — | $18K |
| FIRST DENTAL HEALTH EIN 33-0655193 NONE | Other services Service code 49 | — | $18K |
| MICHAEL SUROWITZ COMPLIANCE VERIFIC NONE | Accounting (including auditing) Service code 10 | 23438 BALMORAL LN WEST HILLS, CA 91307 | $9K |
| VOYA NONE | Investment management Service code 28 | 230 PARK AVE FL 14 NEW YORK, NY 10169 | $6K |
This section shows how the plan is funded and what that means for risk.
Welfare charges, retention and retention rate (the carrier margin on this plan) are on Pro.
1 contact
10 filings · 2015 to 2025