| 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 | $164K | — | $164K | 9.37% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPERATING ENGINEERS FUNDS, INC. EIN 95-2694167 ADMIN. REIMB. | Plan Administrator Service code 14 | — | $10.4M |
| ANTHEM BLUE CROSS LIFE & HEALTH INS EIN 95-4331852 NONE | Float revenue; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing Service code 12 | — | $1.6M |
| LAQUER URBAN CLIFFORD & HODGE LLP EIN 95-4047729 NONE | Legal Service code 29 | — | $557K |
| NATIONAL INVESTMENT SERVICES EIN 80-0169636 NONE | Investment management Service code 28 | — | $437K |
| THE SEGAL COMPANY EIN 94-1503999 NONE | Actuarial Service code 11 | — | $128K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing) Service code 10 | — | $123K |
| PROPEER RESOURCES, LLC EIN 35-2559074 NONE | Other services Service code 49 | — | $95K |
| WELLS FARGO BANK EIN 41-0449260 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $66K |
| EDI HEALTH GROUP EIN 90-0117186 NONE | Other fees; Direct payment from the plan Service code 50 | — | $46K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Actuarial; Direct payment from the plan Service code 11 | — | $45K |
| CARROLL & SCULLY, INC. EIN 94-2690827 NONE | Legal Service code 29 | — | $23K |
| NEPC, LLC EIN 26-1429809 NONE | Investment advisory (plan) Service code 27 | — | $11K |
| DREYFUS | Investment management fees paid indirectly by plan Service code 52 | — | $11K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Investment management fees paid directly by plan; Custodial (securities) Service code 19 | — | $11K |
| HUTCHINSON AND BLOODGOOD LLP EIN 95-0858589 NONE | Actuarial Service code 11 | — | $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 | 11,384 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 4,394 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 1,242 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 17,020 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 9,303 | $80.2M |
| Dental(4 contracts, 4 carriers) | UNITED CONCORDIA INSURANCE COMPANY | 3,908 | $2.2M |
| Prescription drug | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 575 | $2.7M |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 8,554 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,303 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.