No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS, INC. EIN 52-1590516 NONE | Recordkeeping and information management (computing, tabulating, data processing, etc.); Plan Administrator; Contract Administrator; Direct payment from the plan; Accounting (including auditing); Claims processing Service code 10 | — | $1.2M |
| ZELIS CLAIMS INTEGRITY, INC. EIN 86-1040704 NONE | Other fees; Direct payment from the plan Service code 50 | — | $404K |
| ZENITH AMERICAN SOLUTIONS | Other fees Service code 99 | — | $195K |
| A.F. BUBENAS & CO. INC EIN 95-2368103 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $63K |
| PACIFIC INCOME ADVISORS EIN 95-4067974 NONE | Direct payment from the plan; Investment management fees paid directly by plan Service code 50 | — | $62K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $57K |
| ANTHEM BLUE CROSS EIN 95-4331852 NONE | Float revenue; Claims processing; Other services; Recordkeeping and information management (computing, tabulating, data processing, etc.); Contract Administrator Service code 12 | — | $57K |
| MUFG UNION BANK, N.A. EIN 94-0304228 NONE | Custodial (other than securities); Direct payment from the plan Service code 18 | — | $38K |
| REICH ADELL & CVITAN EIN 95-3082677 NONE | Legal; Direct payment from the plan Service code 29 | — | $38K |
| US BANK NATIONAL ASSOCIATION EIN 31-0841368 NONE | Custodial (securities); Direct payment from the plan Service code 19 | — | $14K |
| PACIFIC CREST ACTUARIES EIN 81-4642259 NONE | Direct payment from the plan; Actuarial Service code 11 | — | $12K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $12K |
| JOHN H. STEPHENS EIN 95-4124956 NONE | Legal; Direct payment from the plan Service code 29 | — | $10K |
| WOHLNER KAPLON CUTLER HALFORD & ROS EIN 83-2856417 NONE | Legal; Direct payment from the plan Service code 29 | — | $9K |
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 | 552 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 178 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 0 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 730 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | BLUE CROSS OF CALIFORNIA | 491 | $3.6M |
| Dental(2 contracts, 2 carriers) | LIBERTY DENTAL PLAN OF CALIFORNIA, INC. | 448 | $65K |
| Life insurance | THE UNION LABOR LIFE INSURANCE COMPANY | 566 | $20K |
| Prescription drug | UNITED AMERICAN INSURANCE COMPANY | 67 | $180K |
| Stop-loss / reinsurancereinsurance | THE UNION LABOR LIFE INSURANCE COMPANY | 209 | $1.0M |
| Other(2 contracts, 2 carriers) | THE UNION LABOR LIFE INSURANCE COMPANY | 566 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 566 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.