No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CONSTRUCTION BENEFITS ADMIN. INC EIN 95-3142450 ADMIN ORGANIZATION | Direct payment from the plan; Contract Administrator Service code 13 | 3805 SILLECT AVENUE BAKERSFIELD, CA 93308 | $184K |
| SEGAL COMPANY EIN 94-1503999 NONE | Direct payment from the plan; Actuarial Service code 11 | 330 N BRAND BLVD., SUITE 500 GLENDALE, CA 91203 | $74K |
| TIFFANY LENA EIN 56-0452052 NONE | Legal; Direct payment from the plan Service code 29 | 1670 SAGEWOOD WAY SAN MARCOS, CA 92078 | $18K |
| SEGAL MARCO ADVISORS EIN 13-2646110 NONE | Direct payment from the plan; Investment advisory (plan) Service code 27 | 333 WEST 34TH STREET NEW YORK, NY 10001 | $11K |
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 | 509 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 88 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 597 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLANS INC. | 0 | $0 |
| Dental(2 contracts, 2 carriers) | SAFEGUARD HEALTH PLANS, INC., A CALIFORNIA CORPORATION | 0 | $0 |
| Vision | KAISER FOUNDATION HEALTH PLANS INC. | 0 | $0 |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $0 |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 0 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 0 | — |
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."
No prospect flags tripped on this filing.