No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS ADMINISTRATORS EIN 38-2383171 NONE | Contract Administrator; Claims processing; Direct payment from the plan Service code 12 | — | $497K |
| ASSOCIATED THIRD PARTY ADMINISTRATO EIN 94-3187938 NONE | Contract Administrator; Direct payment from the plan; Claims processing Service code 12 | — | $427K |
| LINDQUIST LLP EIN 52-2385296 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $304K |
| ANTHEM BLUE CROSS OF CALIFORNIA EIN 95-4331852 NONE | Direct payment from the plan; Claims processing; Other services Service code 12 | — | $148K |
| CORNWELL BRADY & BALDWIN EIN 33-0469098 NONE | Legal; Direct payment from the plan Service code 29 | — | $129K |
| MILLIMAN EIN 91-0675641 NONE | Actuarial; Direct payment from the plan; Consulting (general) Service code 11 | — | $91K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $62K |
| GRANDFLOW EIN 94-3211239 NONE | Other services; Direct payment from the plan Service code 49 | — | $58K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $35K |
| UNION BANK EIN 93-0400228 NONE | Trustee (bank, trust company, or similar financial institution); Direct payment from the plan Service code 21 | — | $19K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Direct payment from the plan; Other services Service code 49 | — | $8K |
| AABCO PRINTING NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 1300 GALAXY WAY, STE 20 CONCORD, CA 94520 | $8K |
| HEALTH SERVICE COALITION EIN 88-0492643 NONE | Other services; Direct payment from the plan Service code 49 | — | $7K |
| MINES AND ASSOCIATES EIN 84-1028610 NONE | Direct payment from the plan; Claims processing; Other services Service code 12 | — | $7K |
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 | 2,563 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 464 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,027 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 4,150 | $17.7M |
| Dental(3 contracts) | DELTA DENTAL OF CALIFORNIA | 1,952 | $581K |
| Prescription drug | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 295 | $1.3M |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,435 | $1.1M |
| Other | MANAGED HEALTH NETWORK | 2,075 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,150 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.