| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT PROGRAMS ADMINISTRATION EIN 13-2501278 NONE | Contract Administrator; Consulting (general); Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $525K |
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Contract Administrator Service code 13 | — | $329K |
| HEALTH SMART PREFERRED NETWORK EIN 06-1621470 NONE | Direct payment from the plan; Other services Service code 49 | — | $263K |
| REICH, ADELL & CVITAN EIN 95-3082677 NONE | Legal; Direct payment from the plan Service code 29 | — | $123K |
| INTERPLAN HEALTH GROUP EIN 06-1623228 NONE | Other services; Direct payment from the plan Service code 49 | — | $83K |
| MILLER KAPLAN ARASE LLP EIN 95-2036255 NONE | Other services; Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $64K |
| CENTENNIAL GROUP EIN 33-0935833 NONE | Consulting (general); Direct payment from the plan Service code 16 | — | $60K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan; Claims processing Service code 12 | — | $31K |
| AFFILIATED HEALTH FUNDS EIN 95-3864605 NONE | Direct payment from the plan; Other services Service code 49 | — | $6K |
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 | 2,113 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,113 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIMNSA | 64 | $85K |
| Dental(3 contracts, 3 carriers) | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | 5,947 | $666K |
| Vision | VISION SERVICE PLAN | 2,151 | $258K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,947 | — |
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."
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.