| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING & INSURANCE SERVICES | 707 WILSHIRE BLVD LOS ANGELES, CA 90017 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | — | $4K | 10.37% |
| AON CONSULTING INC3 Filed as: AON CONSULTING & INSURANCE SERVICES | 707 WILSHIRE BLVD LOS ANGELES, CA 90017 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $833 | — | $833 | 10.99% |
| AON CONSULTING INC3 Filed as: AON CONSULTING & INSURANCE SERVICES | 707 WILSHIRE BLVD LOS ANGELES, CA 90017 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $590 | — | $590 | 10.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ANTHEM BLUE CROSS EIN 95-4331852 NONE | Claims processing Service code 12 | — | $7.7M |
| DELTA DENTAL EIN 94-1461312 NONE | Claims processing Service code 12 | — | $2.3M |
| NIGRO, KARLIN & SEGAL & FELDSTEIN, EIN 95-3632775 NONE | Accounting (including auditing) Service code 10 | — | $2.2M |
| U.C. REGENTS EIN 95-6006143 NONE | Other services Service code 49 | — | $1.9M |
| OPTUM HEALTH EIN 26-1256856 NONE | Claims processing Service code 12 | — | $1.9M |
| OXFORD EIN 52-2443751 NONE | Claims processing Service code 12 | — | $1.6M |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing) Service code 10 | — | $923K |
| PREMIER TECHNOLOGY SOLUTIONS, INC. EIN 13-3933805 NONE | Other services Service code 49 | — | $836K |
| CHEIRON, INC. EIN 13-4215617 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $790K |
| BUSH, GOTTLIEB, ET.AL. EIN 95-2956616 NONE | Legal Service code 29 | — | $720K |
| EMDEON PAYMENT MANAGEMENT EIN 20-5591816 NONE | Other services Service code 49 | — | $690K |
| FIRST PACIFIC ADVISORS EIN 20-1362771 NONE | Investment management fees paid indirectly by plan Service code 52 | — | $674K |
| VSP EIN 94-1632821 NONE | Claims processing Service code 12 | — | $612K |
| MITCHELL, SILBERBERG & KNUPP, LLC EIN 95-1883538 NONE | Legal Service code 29 | — | $608K |
| LOCKTON INSURANCE BROKERS, LLC EIN 20-3354970 NONE | Insurance agents and brokers Service code 22 | — | $573K |
| THE SEGAL COMPANY INC. EIN 94-1503999 NONE | Other services Service code 49 | — | $533K |
| EXPRESS SCRIPTS, INC. EIN 22-3461740 NONE | Claims processing Service code 12 | — | $516K |
| GRANTHAM, MAYO, VAN OTERLOO COMPANY EIN 45-2174907 NONE | Investment management fees paid directly by plan Service code 51 | — | $486K |
| THE TRIZETTO GROUP, INC. EIN 33-0761159 NONE | Other services Service code 49 | — | $427K |
| ORACLE CORPORATION EIN 94-2805249 NONE | Other services Service code 49 | — | $300K |
| WOHLNER, KAPLON, PHILLIPS, YOUNG & EIN 95-4177931 NONE | Legal Service code 29 | — | $294K |
| CAREER STRATEGIES TEMPORARY, INC. EIN 95-4263858 NONE | Other services Service code 49 | — | $263K |
| LISTER, MARTIN & THOMPSON EIN 27-1151362 NONE | Legal Service code 29 | — | $253K |
| US BANK EIN 20-3019079 NONE | Trustee (bank, trust company, or similar financial institution) Service code 21 | — | $247K |
| BOYD WATTERSON ASSET MANAGEMENT LLC EIN 34-1922005 NONE | Investment management Service code 28 | — | $241K |
| 1105 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $241K |
| 1117 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $235K |
| UNION BANK EIN 94-0304228 NONE | Other services Service code 49 | — | $224K |
| THOMAS A. ZIMMERMAN EIN 95-6042583 NONE | Consulting fees Service code 70 | — | $217K |
| GOSSER PROPERTY MANAGEMENT EIN 45-4971463 NONE | Other services Service code 49 | — | $204K |
| 1055 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $179K |
| TCW/METWEST EIN 95-2642764 NONE | Investment management; Investment management fees paid directly by plan; Investment management fees paid indirectly by plan Service code 28 | — | $168K |
| TED FRIESEN EIN 95-6042583 NONE | Consulting fees Service code 70 | — | $164K |
| 281 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $142K |
| SHORT & SHEPHERD NONE | Legal Service code 29 | 24461 DETROIT RD STE 340 WESTLAKE, OH 44145 | $131K |
| 725 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $129K |
| 1124 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $115K |
| 946 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $112K |
| 962 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $106K |
| ALL TEMPORARIES, INC. EIN 95-4359990 NONE | Other services Service code 49 | — | $102K |
| SPIVAK & LIPTON,LLP EIN 13-3494495 NONE | Legal Service code 29 | — | $102K |
| 1131 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $101K |
| ADVANCED RESEARCH INVT SOLUTIONS EIN 47-2330987 NONE | Investment advisory (plan) Service code 27 | — | $100K |
| PACIFIC INVESTMENT MGMT. COMPANY EIN 33-0629048 NONE | Investment management fees paid directly by plan Service code 51 | — | $99K |
| 950 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $93K |
| THE INDUSTRY HEALTH NETWORK EIN 95-4308711 NONE | Consulting (general) Service code 16 | — | $91K |
| 1025 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $91K |
| 756 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $90K |
| 346 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $88K |
| 824 EIN 95-6042583 EMPLOYEE | Employee (plan) Service code 30 | — | $85K |
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 | 45,220 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13,422 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 58,642 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN REGIONAL CA | 6,667 | $60.6M |
| Dental | DELTA DENTAL OF CALIFORNIA | 1,538 | $673K |
| Life insurance(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 52,913 | $1.6M |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 187 | $39K |
| Other(3 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 42,993 | $168K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 52,913 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.