No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENESYS ADMINISTRATORS EIN 38-2383171 NONE | Claims processing; Direct payment from the plan; Contract Administrator Service code 12 | — | $1.0M |
| LINDQUIST LLP EIN 52-2385296 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $280K |
| ANTHEM BLUE CROSS OF CALIFORNIA EIN 95-4331852 NONE | Other services; Direct payment from the plan; Claims processing Service code 12 | — | $240K |
| WEINBERG, ROGER & ROSENFELD EIN 94-2458080 NONE | Legal; Direct payment from the plan Service code 29 | — | $118K |
| UBS FINANCIAL SERVICES, INC. EIN 13-2638166 NONE | Investment management fees paid indirectly by plan; Investment management; Direct payment from the plan Service code 28 | — | $114K |
| DELTA DENTAL OF CALIFORNIA EIN 94-1461312 NONE | Claims processing; Direct payment from the plan Service code 12 | — | $109K |
| RAEL & LETSON EIN 94-1701048 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $90K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $39K |
| GRANDFLOW EIN 94-3211239 NONE | Copying and duplicating; Direct payment from the plan Service code 36 | — | $31K |
| SWIFTMD TELEMEDICINE EIN 26-1306606 NONE | Other services; Direct payment from the plan Service code 49 | — | $27K |
| MERRILL LYNCH EIN 13-5674085 NONE | Investment management; Direct payment from the plan; Investment management fees paid indirectly by plan Service code 28 | — | $26K |
| IRON MOUNTAIN EIN 04-3038590 NONE | Other services; Direct payment from the plan Service code 49 | — | $8K |
| SMART SOURCE LLC NONE | Direct payment from the plan; Copying and duplicating Service code 36 | 1153 CONTESSA WAY NIPOMA, CA 93444 | $8K |
| GFAR HEALTH SERVICES LLC EIN 81-2546422 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $7K |
| MARSH & MCLENNAN AGENCY LLC EIN 36-1436000 NONE | Insurance brokerage commissions and fees Service code 53 | — | $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 | 2,538 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 276 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,814 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | KAISER FOUNDATION HEALTH PLAN INC. | 3,940 | $21.4M |
| Dental(3 contracts) | DELTA DENTAL OF CALIFORNIA | 1,499 | $438K |
| Prescription drug | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 146 | $818K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 1,036 | $858K |
| Other | MANAGED HEALTH NETWORK | 2,171 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,940 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
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.