No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA LIFE INSURANCE COMPANY EIN 06-6033492 NONE | Direct payment from the plan Service code 50 | — | $308K |
| BENEFIT PROGRAMS ADMINISTRATION EIN 13-2501278 NONE | Plan Administrator Service code 14 | — | $300K |
| REICH, ADELL & CVITAN EIN 95-3082677 NONE | Legal Service code 29 | — | $110K |
| MILLIMAN EIN 91-0675641 NONE | Consulting (general) Service code 16 | — | $75K |
| EIDE BAILLY LLP EIN 45-0250958 NONE | Accounting (including auditing); Direct payment from the plan Service code 10 | — | $63K |
| RX BENEFITS INC. EIN 63-1157085 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $58K |
| VISION SERVICE PLAN EIN 94-1632821 NONE | Direct payment from the plan Service code 50 | — | $18K |
| MEDEXPERT INTERNATIONAL INC EIN 94-3360248 NONE | Contract Administrator Service code 13 | — | $17K |
| HENNINGFIELD & ASSOCIATES, INC. EIN 54-2189926 NONE | Accounting (including auditing) Service code 10 | — | $15K |
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 | 1,449 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 1,449 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | SIMNSA | 0 | $150K |
| Dental(2 contracts, 2 carriers) | UNITED CONCORDIA DENTAL PLANS OF CALIFORNIA, INC. | 974 | $431K |
| Vision | VISION SERVICE PLAN | 1,552 | $110K |
| Life insurance | PRUDENTIAL | 1,449 | $14K |
| Stop-loss / reinsurancereinsurance | AMALGAMATED LIFE INSURANCE COMPANY | 1,415 | $378K |
| Other | PRUDENTIAL | 1,449 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,552 | — |
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.