No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS OF CALIFORNIA EIN 95-3760980 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $5.1M |
| NIGRO, KARLIN, SEGAL & FELDSTEIN EIN 95-3632775 NONE | Direct payment from the plan; Consulting fees; Accounting (including auditing) Service code 10 | — | $899K |
| PRUDENTRX, LLC EIN 84-4560702 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $815K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $807K |
| COGNIZANT TECHNOLOGY SOLUTIONS US C EIN 13-3924155 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $780K |
| BDO EIN 13-5381590 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $604K |
| BEACON HEALTH OPTIONS EIN 95-4297571 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $602K |
| ADMINISTRATIVE SYSTEMS, INC. EIN 90-0951700 NONE | Copying and duplicating; Direct payment from the plan; Other services Service code 36 | — | $507K |
| VECTOR RESOURCES, INC. EIN 95-4154511 NONE | Direct payment from the plan; Other services Service code 49 | — | $441K |
| SAVE ON SP, LLC EIN 47-3603390 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $392K |
| RX SAVINGS LLC EIN 26-3642434 NONE | Other services; Direct payment from the plan; Claims processing Service code 12 | — | $364K |
| UCLA FACULTY PRACTICE GROUP EIN 95-3760980 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $326K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $318K |
| EMPLOYEE FILE NUMBER 000319 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $317K |
| BROWER LAW GROUP, A PROFESSIONAL CO EIN 82-3315514 NONE | Legal; Direct payment from the plan Service code 29 | — | $309K |
| BERLIN ROSEN, LTD. EIN 84-1685253 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $305K |
| COHEN, WEISS AND SIMON, LLP. EIN 13-1592323 NONE | Legal; Direct payment from the plan Service code 29 | — | $304K |
| CALIBRATED HEALTHCARE NETWORK, LLC EIN 57-1240854 NONE | Direct payment from the plan; Consulting (general); Claims processing Service code 12 | — | $303K |
| DUC TRAN, MD. EIN 55-9519216 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $303K |
| BUSH GOTTLIEB, A LAW CORP. EIN 95-2956616 NONE | Legal; Direct payment from the plan Service code 29 | — | $301K |
| CVS CAREMARK EIN 26-3642434 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $293K |
| VOYA INVESTMENT MANAGEMENT EIN 13-3863170 NONE | Investment management; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 28 | — | $290K |
| WELLRITHMS EIN 46-3312269 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $282K |
| EMPLOYEE FILE NUMBER 001553 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $276K |
| THE SEGAL COMPANY (EASTERN STATES) EIN 13-1835864 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $260K |
| EMPLOYEE FILE NUMBER 001380 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $251K |
| EMPLOYEE FILE NUMBER 000195 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $238K |
| EMPLOYEE FILE NUMBER 000315 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $213K |
| PROSKAUER ROSE, LLP. EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $212K |
| THE HARTFORD EIN 06-0294398 NONE | Direct payment from the plan; Insurance agents and brokers; Insurance services Service code 22 | — | $204K |
| WITHUMSMITH + BROWN EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $198K |
| EMPLOYEE FILE NUMBER 000265 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $192K |
| MEDWATCH, LLC EIN 16-1662117 NONE | Other services; Claims processing; Direct payment from the plan Service code 12 | — | $188K |
| EMPLOYEE FILE NUMBER 000100 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $184K |
| METROPOLITAN WEST ASSET MANAGEMENT EIN 95-3703295 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $178K |
| TURNER TECHTRONICS, INC. EIN 95-4101994 NONE | Other services; Direct payment from the plan Service code 49 | — | $175K |
| HEALTH MANAGEMENT SYSTEMS, INC EIN 13-2270433 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $174K |
| EMPLOYEE FILE NUMBER 001059 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $173K |
| NEXUSTEK EIN 84-1432041 NONE | Other services; Direct payment from the plan Service code 49 | — | $172K |
| EMPLOYEE FILE NUMBER 000347 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $162K |
| HUB INTERNATIONAL INSURANCES SERVIC EIN 33-0315047 NONE | Insurance brokerage commissions and fees; Insurance services Service code 23 | — | $156K |
| PROGRESS SOFTWARE, CORP. EIN 04-2746201 NONE | Other services; Direct payment from the plan Service code 49 | — | $149K |
| ATACCAMA CORP EIN 99-0361800 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $143K |
| EMPLOYEE FILE NUMBER 000335 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $134K |
| LESLIE HOFFMAN NONE | Legal; Direct payment from the plan Service code 29 | 78 WILL ROGERS DRIVE #401 SARANAC LAKE, NY 12983 | $125K |
| EMPLOYEE FILE NUMBER 000356 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $124K |
| SHAPESTONE INC. EIN 46-3125724 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $122K |
| EMPLOYEE FILE NUMBER 000137 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $118K |
| EMPLOYEE FILE NUMBER 000264 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $116K |
| THE SEGAL COMPANY (WESTERN STATES) EIN 94-1503999 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $116K |
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 | 25,822 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11,209 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 175 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 37,206 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF CALIFORNIA | 45,602 | $808K |
| Vision(2 contracts) | VISION SERVICE PLAN | 21,591 | $57K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 25,396 | $2.1M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 25,396 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 45,602 | — |
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.