No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| EVERSIDE HEALTH, LLC EIN 83-0674262 NONE | Direct payment from the plan; Other services Service code 49 | — | $14.8M |
| IRONWORKERS EMPLOYEES' BENEFIT CORP EIN 95-3084599 ADMIN ORGANIZATION | Contract Administrator; Direct payment from the plan Service code 13 | — | $3.7M |
| ANTHEM BLUE CROSS LIFE & HEALTH EIN 95-4331852 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator; Claims processing Service code 12 | — | $2.6M |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $536K |
| OPTUM RX INC. EIN 33-0441200 PHARMACY BENEFIT MGMT | Other fees; Direct payment from the plan; Claims processing; Float revenue Service code 12 | — | $290K |
| KRAW LAW GROUP, APC EIN 32-0465891 NONE | Other fees; Legal; Direct payment from the plan Service code 29 | — | $229K |
| MILLIMAN, INC. EIN 91-0675641 NONE | Direct payment from the plan; Actuarial; Consulting (pension) Service code 11 | — | $200K |
| WITHUMSMITH+BROWN, PC EIN 22-2027092 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $178K |
| LOGICALIS, INC. EIN 13-4000122 NONE | Other services; Direct payment from the plan Service code 49 | — | $92K |
| TOP TIER RESOURCES, INC. EIN 82-2957919 NONE | Direct payment from the plan; Consulting (general); Other services Service code 16 | — | $78K |
| IRON MOUNTAIN INC. EIN 04-3038590 NONE | Other services; Direct payment from the plan Service code 49 | — | $58K |
| 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 | — | $56K |
| LEVEL 3 FINANCING, INC. EIN 47-0735805 NONE | Other services; Direct payment from the plan Service code 49 | — | $46K |
| OPTUM RX, INC. | Float revenue; Other fees Service code 62 | — | $41K |
| ROTH STAFFING COMPANIES LP EIN 33-0633164 NONE | Direct payment from the plan; Other services Service code 49 | — | $39K |
| PACIFIC HEALTH ALLIANCE NONE | Claims processing; Direct payment from the plan Service code 12 | 1525 ROLLINS ROAD SUITE B BURLINGAME, CA 94010 | $34K |
| MARSH MCLENNAN COMPANIES, INC EIN 36-2668272 NONE | Insurance brokerage commissions and fees Service code 53 | — | $22K |
| NTH GENERATION COMPUTING, INC NONE | Direct payment from the plan; Other services Service code 49 | 17055 CAMINO SAN BERNARDO SAN DIEGO, CA 92127 | $20K |
| RVK, INC. EIN 93-0910652 NONE | Consulting (general); Direct payment from the plan; Investment advisory (plan) Service code 16 | — | $6K |
| HOUSE OF PRINTING INC. EIN 95-2234833 NONE | Participant communication; Direct payment from the plan Service code 38 | — | $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 | 8,550 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,921 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 10,471 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(7 contracts, 6 carriers) | KAISER FOUNDATION HEALTH PLAN, INC. | 3,754 | $44.8M |
| Dental(5 contracts, 4 carriers) | HEALTH NET | 307 | $1.0M |
| Vision(2 contracts, 2 carriers) | HEALTH NET | 96 | $1.4M |
| Prescription drug(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 1,964 | $6.9M |
| Other | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 23,487 | $208K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 23,487 | — |
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.