No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SAN DIEGO ELECTRICAL ADMINISTRATION EIN 72-1571046 PLAN ADMINISTRATOR | Accounting (including auditing) Service code 10 | — | $1.9M |
| ANTHEM BLUE CROSS LIFE AND HEALTH C EIN 95-4331852 BROKER | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator; Claims processing; Other services Service code 12 | 3075 VANDERCAR WAY CINCINNATI, OH 45209 | $736K |
| LAQUER, URBAN, CLIFFORD,& HODGE LLP EIN 95-4047729 ATTORNEY | Legal Service code 29 | — | $263K |
| CHANGE HEALTHCARE (FKA TC 3 HEALTH) EIN 74-3031728 SERVICE PROVIDER | Other services Service code 49 | — | $205K |
| HORIZON ACTUARIAL SERVICES EIN 53-0181291 ACTUARY | Actuarial Service code 11 | — | $157K |
| FOUNDATION FOR MEDICAL CARE EIN 95-2097207 SERVICE PROVIDER | Other services Service code 49 | — | $80K |
| NEWTOWER MANAGEMENT, LLC EIN 26-3796332 INVESTMENT ADVISOR | Investment management Service code 28 | — | $40K |
| CRYSTAL CLEAR RX EIN 27-3009945 INSURANCE PROVIDER | Claims processing Service code 12 | — | $30K |
| CEDAR GATE EIN 26-4710932 SERVICE PROVIDER | Other services Service code 49 | 430 BEDFORD ST STE 175 LEXINGTON, MA 02420 | $29K |
| ANY BUDGET PRINTING & MAILING EIN 90-0050477 PRINTING | Copying and duplicating Service code 36 | — | $26K |
| PKF SAN DIEGO EIN 81-3391684 AUDITOR | Accounting (including auditing) Service code 10 | 2020 CAMINO DEL RIO N. STE. 1000 SAN DIEGO, CA 92108 | $22K |
| OPTUM NURSELINE SERVICES EIN 41-1289245 INSURANCE PROVIDER | Claims processing Service code 12 | — | $20K |
| DE FRANCE PRINTING EIN 95-1973813 PRINTING | Copying and duplicating Service code 36 | — | $19K |
| INVESTMENT MPERFORMANCE SERVICES EIN 58-2432390 INVESTMENT ADVISOR | Investment management Service code 28 | 570 EAST YORK STREET SAVANNAH, GA 31401 | $5K |
| U.S. BANK EIN 31-0841368 CUSTODIAN | Custodial (securities) Service code 19 | — | $5K |
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 | 4,617 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 301 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 4,918 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 3,414 | $3.3M |
| Dental(3 contracts, 2 carriers) | DELTA DENTAL OF CALIFORNIA | 8,403 | $175K |
| Vision | VISION SERVICE PLAN | 3,050 | $745K |
| Life insurance | METLIFE | 3,484 | $206K |
| Prescription drug | NAVITUS HEALTH SOLUTIONS | 8,253 | $0 |
| Other | METLIFE | 3,484 | $206K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 8,403 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.