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 | |
HealthHMO | HealthHMO | |
Dental | Dental | |
HealthHMO | HealthHMO | |
HealthDental | HealthDental |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 5 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 | 38,865 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15,939 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 54,804 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 29,727 | $269.6M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 3,716 | $740K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 29,727 | - |
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 |
|---|---|---|---|
| SC UFCW ADMINISTRATION LLC EIN 74-3243950 NONE | Plan Administrator; Direct payment from the plan Service code 14 | — | $22.6M |
| BLUE CROSS OF CALIFORNIA EIN 95-3760980 NONE | Claims processing; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services Service code 12 | — | $4.4M |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $1.8M |
| ANTHEM BLUE CROSS LIFE AND HEALTH EIN 95-4331852 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Float revenue; Other services; Claims processing; Contract Administrator Service code 12 | — | $1.2M |
| HORIZON ACTUARIAL SERVICES, LLC EIN 26-1370698 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $758K |
| THE SEGAL CO. (WS) INC. EIN 94-1503999 NONE | Actuarial; Consulting (general); Direct payment from the plan Service code 11 | — | $529K |
| SEYFARTH SHAW EIN 36-2152202 NONE | Legal; Direct payment from the plan Service code 29 | — | $518K |
| HEALTH MANAGEMENT CONCEPTS EIN 75-3189468 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $509K |
| CVS PHARMACY, INC. EIN 05-0340626 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $371K |
| SCHWARTZ, STEINSAPIR, DOHRMANN EIN 95-2077781 NONE | Legal; Direct payment from the plan Service code 29 | — | $337K |
| INCOME RESEARCH & MANAGEMENT EIN 04-2955404 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $230K |
| WELLS FARGO BANK NA NONE | Other services; Direct payment from the plan Service code 49 | 2030 MAIN ST 7TH FL IRVINE, CA 92614 | $168K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $152K |
| CS MCKEE EIN 84-3346426 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $149K |
| BARRY MITCHELL, DDS EIN 55-7843237 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $146K |
| ALAN WEISS, DDS EIN 55-5159998 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $135K |
| HEALTHLINX LLC EIN 87-0660214 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $130K |
| SMITH COMMUNICATIONS PARTNERS EIN 20-2894624 NONE | Other fees; Direct payment from the plan Service code 50 | — | $99K |
| SHENKMAN CAPITAL MGMT NONE | Investment management fees paid directly by plan; Investment management Service code 28 | 151 W 42ND ST NEW YORK, NY 10036 | $92K |
| MEKETA INVESTMENT GROUP EIN 04-2659023 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | — | $81K |
| KEYBANK NATIONAL ASSOCIATION EIN 34-0797057 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $77K |
| NORTHERN TRUST CAPITAL MANAGEMENT EIN 36-2723087 NONE | Investment management; Investment management fees paid directly by plan Service code 28 | — | $28K |
| NORTHERN TRUST COMPANY EIN 36-1561860 NONE | Investment management fees paid directly by plan; Investment management; Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $26K |
| MARSH & MCLENNAN AGENCY LLC EIN 26-3237576 NONE | Insurance agents and brokers Service code 22 | — | $0 |
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.
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10 filings · 2016 to 2025