No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| COOK & ASSOCIATES EIN 95-3245809 NONE | Legal Service code 29 | — | $27K |
| A. BUBENAS EIN 95-2368103 NONE | Consulting (general) Service code 16 | — | $14K |
| PKF, LLP EIN 81-3391684 NONE | Accounting (including auditing) Service code 10 | — | $11K |
| VERUS INVESTMENTS EIN 91-1320111 NONE | Consulting (general) Service code 16 | — | $8K |
| RAEL AND LETSON EIN 94-1701048 NONE | Actuarial Service code 11 | — | $8K |
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 | 58 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 58 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | KAISER PERMANENTE | 92 | $957K |
| Dental | LIBERTY DENTAL PLAN OF CALIFORNIA, INC. | 151 | $30K |
| Vision | VISION SERVICE PLAN | 73 | $10K |
| Life insurance | ASSURITY LIFE INSURANCE COMPANY OF LINCOLN NEBRASKA | 53 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 151 | — |
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.
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.