| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | DEPT LA 23940 PASADENA, CA 91185 | BLUE CROSS OF CALIFORNIA | $489K | — | $489K | 3.87% |
| LOCKTON COMPANIES, LLC3 | 8110 EAST UNION AVENUE, SUITE 700 DENVER, CO 80237 | BLUE CROSS OF CALIFORNIA | — | $51K | $51K | 0.40% |
| LOCKTON COMPANIES, LLC3 | 725 SOUTH FIGUEROA STREET 35TH FLOOR LOS ANGELES, CA 90017 | KAISER FOUNDATION HEALTH PLAN INC | $87K | — | $87K | 2.58% |
| LOCKTON COMPANIES, LLC3 | 725 SOUTH FIGUEROA STREET 35TH FLOOR LOS ANGELES, CA 90017 | DELTA DENTAL OF CALIFORNIA | $46K | — | $46K | 3.00% |
| LOCKTON COMPANIES, LLC3 | DEPT LA 23940 PASADENA, CA 91185 | VISION SERVICE PLAN | $46K | — | $46K | 14.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON INSURANCE BROKERS, LLC | 4275 EXECUTIVE SQUARE, SUITE 600 LA JOLLA, CA 92037 | ACE AMERICAN INSURANCE COMPANY | $11K | — | $11K | 15.00% |
| AFFINITY GROUP UNDERWRITERS3 Filed as: AFFINITY GROUP UNDERWRITERS, INC. | 4510 COX ROAD, SUITE 111 GLEN ALLEN, VA 23060 | ACE AMERICAN INSURANCE COMPANY | $10K | — | $10K | 15.00% |
| REBECCA J SMITH INC4 Filed as: REBECCA J. SMITH INC. | 2557 MICHAELSON WAY JACKSONVILLE, FL 32223 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $2K | — | $2K | 16.38% |
| BROOKE B. WARD4 | 2557 MICHAELSON WAY JACKSONVILLE, FL 32223 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $392 | — | $392 | 3.21% |
| KENN S. TERRY4 | 2557 MICHAELSON WAY JACKSONVILLE, FL 32223 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $82 | — | $82 | 0.67% |
| MARC S MILLER4 Filed as: MARC S. MILLER | 9802 BAYMEADOWS ROAD, SUITE 12 JACKSONVILLE, FL 32256 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $47 | — | $47 | 0.38% |
| CHRISTA G AUFDEMBERG INC4 Filed as: CHRISTA G. AUFDEMBERG INC. | 13102 BRITTANY WOODS DRIVE TUSTIN, CA 92780 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $1K | — | $1K | 32.84% |
| LOCKTON COMPANIES, LLC4 Filed as: LOCKTON INSURANCE BROKERS LLC | 4275 EXECUTIVE SQUARE, SUITE 600 LA JOLLA, CA 92037 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $666 | — | $666 | 16.84% |
| MARY THERESA FISHER4 | 29C OWENS LANDING COURT PERRYVILLE, MD 21903 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $61 | — | $61 | 1.54% |
| PARRISH & ASSOCIATES4 Filed as: PARRISH AND ASSOCIATES INC. | 4959 MEADOW BROOK ROAD BIRMINGHAM, AL 35242 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $19 | — | $19 | 0.48% |
| LYNN R LIONHOOD4 Filed as: LYNN R. LIONHOOD | 10935 BARBS WAY ORLAND PARK, IL 60467 | PRE-PAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $19 | — | $19 | 0.48% |
No Schedule C service providers reported on this filing.
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 | 2,603 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,608 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 2,761 | $16.1M |
| Dental | DELTA DENTAL OF CALIFORNIA | 4,163 | $1.5M |
| Vision | VISION SERVICE PLAN | 1,580 | $329K |
| Life insurance | BLUE CROSS OF CALIFORNIA | 2,761 | $12.6M |
| Short-term disability | BLUE CROSS OF CALIFORNIA | 2,761 | $12.6M |
| Long-term disability | BLUE CROSS OF CALIFORNIA | 2,761 | $12.6M |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 2,761 | $16.0M |
| Other(4 contracts, 3 carriers) | BLUE CROSS OF CALIFORNIA | 2,761 | $12.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,163 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.