No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA EIN 06-6033492 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $0 |
| CIGNA HEALTH EIN 59-1031071 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $0 |
| INDEPENDENCE EIN 23-2184623 CLAIMS PROCESSOR | Claims processing Service code 12 | — | $0 |
| UNITED HEALTHCARE EIN 36-2739571 CLAIM PROCESSOR STOPLOSS | Claims processing Service code 12 | — | $0 |
| UNITED HEALTHCARE INC EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $0 |
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 | 8,624 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 8,624 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(14 contracts, 12 carriers) | KAISER FOUNDATION HEALTH PLAN CA | 417 | $7.6M |
| Dental | DELTA DENTAL OF PENNSYLVANIA | 6,013 | $217K |
| Vision | VISION SERVICE PLAN | 5,097 | $650K |
| Life insurance(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 17,014 | $2.5M |
| Short-term disability | AETNA LIFE INSURANCE COMPANY | 3,777 | $1.0M |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 4,467 | $796K |
| Prescription drug(13 contracts, 11 carriers) | KAISER FOUNDATION HEALTH PLAN CA | 417 | $7.6M |
| Other(6 contracts, 4 carriers) | AETNA LIFE INSURANCE COMPANY | 8,728 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 17,014 | — |
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.