No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS ADMINISTRATORS, INC. EIN 38-2383171 NONE | Contract Administrator Service code 13 | — | $361K |
| PHARMACY BENEFIT SOLUTIONS EIN 47-0866096 NONE | Accounting (including auditing) Service code 10 | — | $62K |
| SEYFARTH SHAW LLP EIN 36-2152202 NONE | Legal Service code 29 | — | $56K |
| CREWS MACQUARRIE & ASSOCIATES, INC. EIN 38-3647875 NONE | Actuarial; Consulting (general) Service code 11 | — | $51K |
| ANTHEM BLUE CROSS EIN 95-4331852 NONE | Claims processing; Float revenue; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services Service code 12 | — | $46K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Actuarial Service code 11 | — | $39K |
| OPTUMRX, INC. EIN 33-0441200 NONE | Other fees; Float revenue; Claims processing; Direct payment from the plan Service code 12 | — | $25K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Claims processing Service code 12 | — | $25K |
| UNION BANK EIN 94-0304288 NONE | Custodial (other than securities) Service code 18 | 400 CALIFORNIA ST. SAN FRANCISCO, CA 94104 | $22K |
| WOHLNER KAPLON CUTLER HALFORD & ROS EIN 95-4177931 NONE | Legal Service code 29 | — | $20K |
| HENNINFIELD & ASSOCIATES, INC. EIN 54-2189926 NONE | Accounting (including auditing) Service code 10 | — | $17K |
| DONALD HUBER, DDS EIN 27-2119805 NONE | Consulting (general) Service code 16 | — | $9K |
| HMC HEALTHWORKS EIN 75-3189468 NONE | Other services Service code 49 | — | $8K |
| BARRY S. MITCHELL, DDS EIN 95-3919508 NONE | Consulting (general) Service code 16 | — | $8K |
| SOUTHWEST MONEY MANAGEMENT EIN 95-6055492 NONE | Investment advisory (plan) Service code 27 | — | $7K |
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 | 1,535 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 226 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,761 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | LIBERTY DENTAL PLAN OF CALIFORNIA, INC. | 1,415 | $189K |
| Vision | VISION SERVICE PLAN | 1,525 | $282K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 262 | $200K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,527 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
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.