No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PATTI J. MARTIN EIN 95-6289239 NONE | Plan Administrator Service code 14 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $112K |
| CYNTHIA SMITH EIN 95-6289239 NONE | Plan Administrator Service code 14 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $110K |
| CARMEN N. MCKINLEY EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $76K |
| TINA L. CONNEEN EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $68K |
| SANDRA DEA EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $55K |
| SHERRI A. RUBALCABA EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $55K |
| LUANA POLLEY EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $54K |
| MARY CORONADO EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $43K |
| CYNTHIA GRAYDON NONE | Other services Service code 49 | 1168 EAST LA CADENA DRIVE RIVERSIDE, CA 92507 | $23K |
| CITY OF RIVERSIDE NONE | Other services Service code 49 | 3901 ORANGE STREET RIVERSIDE, CA 92501 | $22K |
| DIRECT COMPUTER LINK NONE | Other services Service code 49 | 2853 HOMESTEAD DRIVE POMONA, CA 91767 | $21K |
| TERMINIX NONE | Other services Service code 49 | 150 PEABODY PLACE MEMPHIS, TN 38103 | $16K |
| DUFFY KRUSPODIN, LLP EIN 95-4244393 NONE | Accounting (including auditing) Service code 10 | 4225 EXECUTIVE SQUARE STE 900 LA JOLLA, CA 92037 | $16K |
| WEAVER & ASSOCIATES, INC NONE | Insurance agents and brokers; Insurance services Service code 22 | 711 W CAMINO REAL ARCADIA, CA 91007 | $14K |
| COVERALL INLAND EMPIRE SERVICE NONE | Other services Service code 49 | 7860 WELLS AVENUE RIVERSIDE, CA 92503 | $13K |
| A-TO-Z PRINTING NONE | Copying and duplicating Service code 36 | 4330 VAN BUREN BLVD RIVERSIDE, CA 92503 | $10K |
| OXFORD RISK MANAGEMENT & INSURANCE NONE | Actuarial; Insurance services; Consulting (general) Service code 11 | PO BOX 1508 ARCADIA, CA 91077 | $10K |
| GREEN THUMB LAWN MAINTENANCE NONE | Other services Service code 49 | 7406 EMERALD STREET RIVERSIDE, CA 92504 | $10K |
| CJM COMPUTER SERVICES NONE | Other services Service code 49 | 250 REDWOOD LANE LA HABRA, CA 90631 | $9K |
| COMPLETE OFFICE OF CALIFORNIA NONE | Other services Service code 49 | 12724 MOORE ST CERRITOS, CA 90703 | $9K |
| LIBERTY MUTUAL INSURANCE NONE | Insurance services Service code 23 | 175 BERKELEY STREET BOSTON, MA 02116 | $9K |
| 3 DAY BLINDS, LLC NONE | Other services Service code 49 | 1168 EAST LA CADENA DRIVE RIVERSIDE, CA 92507 | $8K |
| STEVEN EUGENE TAYLOR NONE | Other services Service code 49 | 1168 EAST LA CADENA DRIVE RIVERSIDE, CA 92507 | $8K |
| AT&T NONE | Other services Service code 49 | 32 AVENUE OF THE AMERICA NEW YORK, NY 10013 | $8K |
| PARK WEST RESCOM, INC. NONE | Other services Service code 49 | 9360 SANTA ANITA AVE 104 RANCHO CUCAMONGA, CA 91730 | $6K |
| DR. KAVORINOS & ASSOCIATES NONE | Other services Service code 49 | 10630 TOWN CENTER DRIVE RANCHO CUCAMONGA, CA 91730 | $5K |
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 | 1,049 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,049 | Active + retired/separated + beneficiaries. No dependents. |
No Schedule A insurance contracts on this filing — typical of fully self-funded plans, where the only headcount is the Form 5500 number above.
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.