No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS, INC. EIN 38-2383171 NONE | Direct payment from the plan; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 13 | — | $273K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $158K |
| THE WAGNER LAW GROUP EIN 04-3323315 NONE | Legal; Direct payment from the plan Service code 29 | — | $83K |
| MILLIMAN EIN 91-0675641 NONE | Direct payment from the plan; Actuarial; Consulting (general) Service code 11 | — | $70K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $31K |
| HEALTH SMART PREFERRED NETWORK II, EIN 06-1621470 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $10K |
| INNOVATIVE CARE MANAGEMENT EIN 93-1087669 NONE | Other services; Insurance services; Direct payment from the plan Service code 23 | — | $10K |
| U.S BANK EIN 31-0841368 NONE | Custodial (securities); Direct payment from the plan; Other investment fees and expenses Service code 19 | — | $10K |
| MZQ CONSULTING, DBA LUMELIGHT EIN 38-4010278 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $9K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Insurance services; Direct payment from the plan Service code 23 | — | $7K |
| NATIONAL INVEST SVCS OF AMERICA,LLC EIN 84-3937993 NONE | Investment management fees paid directly by plan; Investment management Service code 28 | — | $6K |
| EXPRESS SCRIPTS, INC. EIN 43-1420563 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $5K |
| INVESTMENT PERFORMANCE SERVICES,LLC EIN 58-2432390 NONE | Direct payment from the plan; Investment advisory (plan); Consulting (general) Service code 16 | — | $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 | 458 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 43 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 501 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 735 | $6.0M |
| Dental | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | 623 | $103K |
| Life insurance | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 453 | $10K |
| Prescription drug | BLUE SHIELD OF CALIFORNIA | 153 | $1.2M |
| Stop-loss / reinsurancereinsurance | BERKSHIRE HATHAWAY SPECIALTY INSURANCE COMPANY | 157 | $326K |
| Other | THE PRUDENTIAL INSURANCE COMPANY OF AMERICA | 453 | $10K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 735 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.