No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EVERSIDE HEALTH, LLC EIN 45-3449075 NONE | Direct payment from the plan; Other services Service code 49 | — | $8.3M |
| IRONWORKERS EMPLOYEES' BENEFIT CORP EIN 95-3084599 ADMIN ORGANIZATION | Direct payment from the plan; Contract Administrator Service code 13 | — | $3.6M |
| ANTHEM BLUE CROSS LIFE & HEALTH EIN 95-4331852 NONE | Claims processing; Direct payment from the plan; Contract Administrator; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | $2.5M |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $570K |
| THE SEGAL COMPANY (WESTERN STATES) EIN 94-1503999 NONE | Consulting (pension); Actuarial; Direct payment from the plan Service code 11 | — | $232K |
| OPTUM RX INC. EIN 33-0441200 PHARMACY BENEFIT MGMT | Other fees; Float revenue; Claims processing; Direct payment from the plan Service code 12 | — | $190K |
| KRAW LAW GROUP, APC EIN 32-0465891 NONE | Other fees; Legal; Direct payment from the plan Service code 29 | — | $169K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $122K |
| TOP TIER RESOURCES, INC. EIN 82-2957919 NONE | Consulting (general); Other services; Direct payment from the plan Service code 16 | — | $81K |
| ROTH STAFFING COMPANIES LP EIN 33-0633164 NONE | Other services; Direct payment from the plan Service code 49 | — | $54K |
| WELLS FARGO BANK, N.A. EIN 94-1347393 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $54K |
| OPTUM RX, INC. | Other fees; Float revenue Service code 62 | — | $51K |
| LOGICALIS, INC. EIN 13-4000122 NONE | Direct payment from the plan; Other services Service code 49 | — | $48K |
| MILLIMAN, INC. EIN 91-1675641 NONE | Direct payment from the plan; Consulting (pension); Actuarial Service code 11 | — | $33K |
| OLYMPIC STAFFING SERVICES EIN 95-3888058 NONE | Other services; Direct payment from the plan Service code 49 | — | $23K |
| IRON MOUNTAIN INC. EIN 04-3038590 NONE | Other services; Direct payment from the plan Service code 49 | — | $21K |
| NTH GENERATION COMPUTING, INC NONE | Direct payment from the plan; Other services Service code 49 | 17055 CAMINO SAN BERNARDO SAN DIEGO, CA 92127 | $18K |
| PACIFIC HEALTH ALLIANCE NONE | Direct payment from the plan; Claims processing Service code 12 | 1525 ROLLINS ROAD SUITE B BURLINGAME, CA 94010 | $17K |
| ECS IMAGING EIN 33-0928085 NONE | Other services; Direct payment from the plan Service code 49 | — | $13K |
| MARSH MCLENNAN COMPANIES, INC | Insurance brokerage commissions and fees Service code 53 | — | $13K |
| HOUSE OF PRINTING INC. EIN 95-2234833 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $12K |
| LIFE STATUS 360, LLC EIN 94-3389460 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
| RVK, INC. EIN 93-0910652 NONE | Consulting (general); Investment advisory (plan); Direct payment from the plan Service code 16 | — | $6K |
| MARSH MCLENNAN COMPANIES, INC. EIN 36-2668272 NONE | Insurance brokerage commissions and fees Service code 53 | — | $0 |
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 | 9,903 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,969 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 11,872 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 7 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 4,154 | $51.9M |
| Dental(4 contracts, 3 carriers) | HEALTH NET | 320 | $1.4M |
| Vision | HEALTH NET | 277 | $1.2M |
| Prescription drug(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 1,983 | $7.0M |
| Other | MHN SERVICES | 53 | $56K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,154 | — |
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.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.