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 pricingBroker comp is under 1% of premium on a plan over $1M. The plan may have no broker or pay a flat fee. Consultants can pitch it.
The top carrier holds over 85% of premium. A rate increase from that carrier moves the whole plan.
The filing reports zero broker compensation on a plan over 100 participants. The plan likely buys direct or does not report its broker. Give it a call.
The Schedule A insurance contracts show who carries the risk, for which benefits and for how many people.
| Carrier | Coverage | Premium |
|---|---|---|
HealthHMO | HealthHMO | |
Health | Health | |
Dental | Dental | |
Dental | Dental | |
Vision | Vision | |
Other | Other |
Premium, covered lives, retention, contract number and renewal month for each carrier are on Pro.
See premium, retention and renewal dates for 6 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 | 16,055 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 16,055 | Active, retired or separated, and beneficiaries. Dependents are not counted. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 15,459 | $116.1M |
| Dental(2 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 6,319 | $5.4M |
| Vision | VISION SERVICE PLAN | 10,739 | $262K |
| Other | CARELON BEHAVIORAL HEALTH | 8,316 | $93K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 15,459 | - |
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.
No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITE HERE LOCAL 11 BENEFITS ADMIN EIN 88-1471130 RELATED ORG | Plan Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 14 | — | $2.5M |
| BENEFIT PROGRAMS ADMINISTRATION EIN 95-2074235 NONE | Plan Administrator Service code 14 | — | $1.1M |
| COMMON GOOD TECHNOLOGIES CONSULTING NONE | Consulting (general) Service code 16 | 31 BYRD AVE ROSLINDALE, MA 02131 | $686K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing; Contract Administrator Service code 12 | — | $583K |
| DESIGN BENEFITS NONE | Contract Administrator; Claims processing Service code 12 | 301 E VANDERBILT WAY #100 SAN BERNARDINO, CA 92408 | $547K |
| MLK-LA HEALTHCARE CORPORATION EIN 27-4658935 NONE | Contract Administrator; Claims processing Service code 12 | — | $429K |
| DENTWELL (DBA SYLVASON LLC) EIN 99-4952135 NONE | Other services Service code 49 | — | $327K |
| CARELON BEHAVIORAL HEALTH, INC. EIN 54-1414194 NONE | Insurance services Service code 23 | — | $294K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general) Service code 16 | — | $114K |
| US BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $91K |
| HENNINGFIELD & ASSOCIATES, INC. EIN 54-2189926 NONE | Accounting (including auditing) Service code 10 | — | $79K |
| WEINBERG, ROGER & ROSENFELD EIN 94-2458080 NONE | Legal Service code 29 | — | $66K |
| WITHUM SMITH+BROWN,PC EIN 22-2027092 NONE | Accounting (including auditing) Service code 10 | — | $49K |
| FIRST HEALTH EIN 99-7675469 NONE | Plan Administrator Service code 14 | — | $37K |
| INTERCONTINENTAL REAL ESTATE CORP. NONE | Investment management Service code 28 | 1270 SOLDIERS FIELD RD BOSTON, MA 02135 | $35K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing) Service code 10 | — | $19K |
| PENSION FUND EVALUATIONS, INC. EIN 11-2503982 NONE | Investment advisory (plan) Service code 27 | — | $18K |
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