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 | $148K |
| CARMEN N. MCKINLEY EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $79K |
| SANDRA DEA EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $76K |
| SHERRI A. RUBALCABA EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $74K |
| TINA L. CONNEEN EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $74K |
| MARY CORONADO EIN 95-6289239 NONE | Employee (plan) Service code 30 | 1168 E LA CADENA DRIVE RIVERSIDE, CA 92507 | $52K |
| SAVANNAH RUBALCABA NONE | Other services Service code 49 | — | $47K |
| BLANCA HERNANDEZ NONE | Other services Service code 49 | — | $40K |
| DUFFY KRUSPODIN, LLP EIN 95-4244393 AUDITOR | Accounting (including auditing) Service code 10 | 4225 EXECUTIVE SQUARE SUITE 900 LA JOLLA, CA 92037 | $18K |
| OXFORD RISK MANAGEMENT & INSURANCE CONSULTANT | Consulting fees Service code 70 | 711 W CAMINO REAL ARCADIA, CA 91077 | $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 | 1,011 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,011 | 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.