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 pricingPremium per covered life exceeds 2x the peer median for this NAICS and size cohort. The plan has rich benefits or a bad rate.
Multiple-employer welfare arrangement. It has its own regulatory and compliance rules.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 39 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 | 2,974 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,974 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(27 contracts, 8 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 1,007 | $30.3M |
| Dental(6 contracts, 4 carriers) | HUMANA INSURANCE COMPANY | 702 | $1.1M |
| Vision(4 contracts, 2 carriers) | VISION SERVICE PLAN | 2,749 | $174K |
| Other(2 contracts, 2 carriers) | ARMADA CARE | 522 | $216K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,749 | - |
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.
Commissions, fees, broker address and the carrier each broker is paid through are on Pro.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PIA-SC INSURANCE SERVICES EIN 95-3988532 AFFILIATE | Other fees; Insurance agents and brokers Service code 22 | — | $1.9M |
| GROUP & PENSION ADMINISTRATOR (GPA) EIN 04-1868050 NONE | Claims processing Service code 12 | — | $644K |
| PAYER MATRIX, LLC EIN 81-3946362 NONE | Claims processing Service code 12 | — | $276K |
| PIASC-INSURANCE SERVICES EIN 95-3988532 NONE | Insurance services Service code 23 | — | $144K |
| NOISE DESIGN EIN 95-4012693 NONE | Other fees Service code 99 | — | $132K |
| PRINT CREATIVE ALLIANCE EIN 95-1501502 SPONSOR | Other fees Service code 99 | — | $118K |
| OLIVER WYMAN, INC. EIN 52-1066481 NONE | Actuarial Service code 11 | — | $64K |
| WINDES AUDIT/TAX/ADVISORY EIN 95-3001179 NONE | Accounting (including auditing) Service code 10 | — | $57K |
| EDGEWOOD PARTNERS EIN 94-3195221 NONE | Consulting (general) Service code 16 | — | $49K |
| INTELLIGENT TECHNICAL SOLUTIONS EIN 81-4403537 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 15 | — | $49K |
| CALIFORNIA ASSO. OF SMALL EMPLOYER EIN 33-0835612 NONE | Other fees Service code 99 | — | $45K |
| IRON MOUNTAIN EIN 95-2564821 NONE | Other fees Service code 99 | — | $33K |
| CLIFFORD SWAN INVESTMENT COUNSEL LL EIN 95-4749812 NONE | Investment management Service code 28 | — | $19K |
| AALRR EIN 95-3378600 NONE | Legal Service code 29 | — | $18K |
| DOCTOR LAW GROUP LLP EIN 46-1696808 NONE | Legal Service code 29 | — | $10K |
| THE DOT PRINTER EIN 95-3483415 NONE | Other fees Service code 99 | — | $9K |
| PRINT.N.COPY EIN 90-0242560 NONE | Copying and duplicating Service code 36 | — | $9K |
| MITCHELL, SILBERBERG AND KNUPP EIN 95-1883538 NONE | Custodial (securities) Service code 19 | — | $7K |
| CANON FINANIAL EIN 22-3056822 NONE | Other fees Service code 99 | — | $6K |
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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11 filings · 2015 to 2025