| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STOP LOSS INSURANCE SERVICES, INC.3 | 940 ADAMS ST STE G BENICIA, CA 94510 | HCC LIFE INSURANCE COMPANY | $157K | — | $157K | 8.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPERATING ENGINEERS FUNDS, INC. EIN 95-2694167 ADMIN. REIMB. | Plan Administrator Service code 14 | — | $10.9M |
| ANTHEM BLUE CROSS LIFE & HEALTH INS EIN 95-4331852 NONE | Float revenue; Contract Administrator; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $1.5M |
| LAQUER URBAN CLIFFORD & HODGE LLP EIN 95-4047729 NONE | Legal Service code 29 | — | $546K |
| PART D ADVISORS INC. EIN 20-2595200 NONE | Consulting (general); Other services Service code 16 | — | $236K |
| NATIONAL INVESTMENT SERVICES EIN 80-0169636 NONE | Investment management Service code 28 | — | $194K |
| HEALTH MANAGEMENT SYSTEMS, INC. EIN 13-2770433 NONE | Consulting (general) Service code 16 | — | $129K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Actuarial Service code 11 | — | $112K |
| BERNARD KOTKIN & COMPANY LLP EIN 95-2556670 NONE | Accounting (including auditing) Service code 10 | — | $111K |
| PROPEER RESOURCES, LLC EIN 35-2559074 NONE | Consulting (general) Service code 16 | — | $93K |
| RAEL & LETSON EIN 94-1701048 NONE | Direct payment from the plan; Consulting (general); Actuarial Service code 11 | — | $88K |
| WELLS FARGO BANK EIN 41-0449260 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $67K |
| EDI HEALTH GROUP EIN 90-0117186 NONE | Direct payment from the plan; Other fees Service code 50 | — | $46K |
| THE VIRTUOUS GROUP LLC EIN 27-0365275 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $37K |
| AXIOM SYSTEMS EIN 23-2841822 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Consulting (general) Service code 15 | — | $29K |
| GHI-MEDICARE/COBC EIN 13-5511997 NONE | Other fees; Direct payment from the plan Service code 50 | — | $23K |
| CARROLL & SCULLY, INC. EIN 94-2690827 NONE | Legal Service code 29 | — | $20K |
| NEPC, LLC EIN 26-1429809 NONE | Investment advisory (plan) Service code 27 | — | $11K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $10K |
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 | 10,939 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,434 | Continuation coverage (COBRA, retiree health). |
| Beneficiaries receiving benefits | 1,237 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 16,610 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 8,815 | $71.9M |
| Dental(4 contracts, 4 carriers) | UNITED CONCORDIA INSURANCE COMPANY | 3,685 | $2.1M |
| Prescription drug | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 498 | $2.3M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 8,404 | $1.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,815 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.