No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS OF CALIFORNIA EIN 95-3760980 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $7.8M |
| WELLRITHMS EIN 46-3312269 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $1.7M |
| NIGRO, KARLIN, SEGAL & FELDSTEIN EIN 95-3632775 NONE | Consulting fees; Direct payment from the plan; Accounting (including auditing); Consulting (general) Service code 10 | — | $1.1M |
| VALUEOPTIONS, INC. / BEACON HEALTH EIN 95-4297571 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $894K |
| PROSKAUER ROSE, LLP. EIN 13-1840454 NONE | Legal; Direct payment from the plan Service code 29 | — | $801K |
| HUB INTERNATIONAL INSURANCE SERVICE EIN 33-0315047 NONE | Insurance brokerage commissions and fees; Insurance services Service code 23 | — | $752K |
| COGNIZANT WORLDWIDE LIMITED EIN 13-3924155 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $514K |
| RX SAVINGS LLC EIN 26-3642434 NONE | Direct payment from the plan; Claims processing; Other services Service code 12 | — | $457K |
| VECTOR RESOURCES, INC. EIN 95-4154511 NONE | Direct payment from the plan; Other services Service code 49 | — | $449K |
| COHEN, WEISS AND SIMON, LLP. EIN 13-1592323 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $442K |
| EMPLOYEE FILE NUMBER 001553 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $422K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $397K |
| TRANSCARENT INC. EIN 84-3296541 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $352K |
| BDO EIN 13-5381590 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $337K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Actuarial; Direct payment from the plan Service code 11 | — | $329K |
| EMPLOYEE FILE NUMBER 000195 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $313K |
| EMPLOYEE FILE NUMBER 000315 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $262K |
| 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 000319 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $234K |
| NEXUSTEK EIN 84-1432041 NONE | Other services; Direct payment from the plan Service code 49 | — | $232K |
| EMPLOYEE FILE NUMBER 001568 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $232K |
| EMPLOYEE FILE NUMBER 000397 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $212K |
| DUC TRAN, MD. EIN 55-9519216 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $205K |
| EMPLOYEE FILE NUMBER 000126 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $199K |
| WITHUMSMITH + BROWN EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $199K |
| EMPLOYEE FILE NUMBER 000100 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $198K |
| EMPLOYEE FILE NUMBER 000264 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $194K |
| TURNER TECHTRONICS, INC. EIN 95-4101994 NONE | Direct payment from the plan; Other services Service code 49 | — | $190K |
| EMPLOYEE FILE NUMBER 000347 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $185K |
| EMPLOYEE FILE NUMBER 001059 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $183K |
| EMPLOYEE FILE NUMBER 050202 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $176K |
| EMPLOYEE FILE NUMBER 000265 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $172K |
| BUSH GOTTLIEB, A LAW CORP. EIN 95-2956616 NONE | Legal; Direct payment from the plan Service code 29 | — | $168K |
| EMPLOYEE FILE NUMBER 000335 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $160K |
| EMPLOYEE FILE NUMBER 000284 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $152K |
| EMPLOYEE FILE NUMBER 000356 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $152K |
| EMPLOYEE FILE NUMBER 000351 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $151K |
| BERLIN ROSEN, LTD. EIN 84-1685253 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $150K |
| EMPLOYEE FILE NUMBER 000213 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $148K |
| EMPLOYEE FILE NUMBER 000426 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $144K |
| EMPLOYEE FILE NUMBER 000137 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $143K |
| PROGRESS SOFTWARE, CORP. EIN 04-2746201 NONE | Other services; Direct payment from the plan Service code 49 | — | $140K |
| EMPLOYEE FILE NUMBER 000415 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $138K |
| EMPLOYEE FILE NUMBER 001006 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $137K |
| EMPLOYEE FILE NUMBER 001293 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $126K |
| ATACCAMA CORP EIN 99-0361800 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $123K |
| EMPLOYEE FILE NUMBER 000175 EMPLOYEE | Employee (plan); Direct payment from the plan Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $122K |
| CSC COVANSYS, CORP. EIN 38-2606945 NONE | Other services; Direct payment from the plan Service code 49 | — | $120K |
| EMPLOYEE FILE NUMBER 000324 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $119K |
| EMPLOYEE FILE NUMBER 000352 EMPLOYEE | Direct payment from the plan; Employee (plan) Service code 30 | 3601 W OLIVE AVENUE BURBANK, CA 91505 | $119K |
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 | 22,176 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11,056 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 863 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 34,095 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF CALIFORNIA | 44,874 | $344K |
| Vision | VISION SERVICE PLAN | 21,859 | $60K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 26,981 | $2.2M |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 26,981 | $2.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 44,874 | — |
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.