| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NONE | — | AMALGAMATED LIFE | — | — | $0 | 0.00% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS INSURANCE SERVICES OF CALIF | 26 CENTURY BLVD STE 101 NASHVILLE, TN 37214 | DELTA DENTAL OF CALIFORNIA | $3K | — | $3K | 3.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS EIN 52-1590516 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Direct payment from the plan; Contract Administrator Service code 13 | — | $556K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general) Service code 16 | — | $80K |
| VERUS EIN 91-1320111 NONE | Direct payment from the plan; Consulting (pension) Service code 17 | — | $38K |
| HILL FARRER & BURRILL LLP EIN 95-2153880 NONE | Legal; Direct payment from the plan Service code 29 | — | $32K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $24K |
| WOHLNER KAPLON PHILLIPS ET AL EIN 95-2699554 NONE | Legal; Direct payment from the plan Service code 29 | — | $20K |
| ANTHEM BLUE CROSS LIFE & HEALTH INS EIN 95-4331852 NONE | Other services; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator Service code 12 | — | $16K |
| AMALGAMATED BANK EIN 13-4920330 NONE | Custodial (securities); Investment management fees paid indirectly by plan Service code 19 | — | $10K |
| UNION BANK EIN 95-1234979 NONE | Other fees Service code 99 | — | $6K |
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 | 2,379 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 231 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,610 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 3,504 | $17.7M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 1,193 | $1.3M |
| Vision(3 contracts, 3 carriers) | VISION SERVICE PLAN | 1,718 | $398K |
| Life insurance(3 contracts, 3 carriers) | THE UNION LABOR LIFE INSURANCE CO. | 1,870 | $190K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE | 561 | $307K |
| Other | THE UNION LABOR LIFE INSURANCE CO. | 1,870 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,504 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.