No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS ADMINISTRATORS EIN 38-2383171 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $122K |
| MELISSA W COOK & ASSOCIATES EIN 95-3245809 NONE | Legal; Direct payment from the plan Service code 29 | — | $61K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $40K |
| INNOVATIVE COST MANAGEMENT EIN 77-0119752 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $36K |
| AMERITAS LIFE INSURANCE CORP. EIN 47-0098400 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $20K |
| UNION BANK EIN 94-0304228 NONE | Other services; Direct payment from the plan Service code 49 | — | $16K |
| WEDGE CAPITAL MANAGEMENT LLP EIN 56-1557450 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $13K |
| ALL TRADES FINANCIAL SERVICES EIN 20-2476294 NONE | Other services Service code 49 | — | $11K |
| INVESTMENT PERFORMANCE SERVICES EIN 58-2432390 NONE | Investment advisory (plan) Service code 27 | — | $10K |
| JOHN MILLER NONE | Actuarial Service code 11 | PO BOX 428 MILL VALLEY, CA 94942 | $10K |
| U.S. BANK NA EIN 31-0841368 NONE | Float revenue; Custodial (securities); Investment management; Soft dollars commissions; Direct payment from the plan Service code 19 | — | $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 | 358 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 45 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 403 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 768 | $4.3M |
| Vision | VISION SERVICE PLAN | 403 | $73K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 363 | $19K |
| Other | THE UNION LABOR LIFE INSURANCE COMPANY | 363 | $19K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 768 | — |
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.