| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ROBYN PIPER3 | 2300 W SAHARA AVE SUITE 800 LAS VEGAS, NV 89102 | AETNA HEALTH, INC. | $28K | $0 | $28K | 0.90% |
| ROBYN PIPER3 | 2300 W SAHARA AVE SUITE 800 LAS VEGAS, NV 89102 | DELTA DENTAL OF CALIFORNIA | $66K | $0 | $66K | 3.00% |
| ROBYN PIPER3 | 11622 EL CAMINO REAL SUITE 100 SAN DIEGO, CA 921302051 | KAISER FOUNDATION HEALTH PLAN INC. | $20K | $0 | $20K | 1.00% |
| ROBYN PIPER3 | 2300 W SAHARA AVE SUITE 800 LAS VEGAS, NV 89102 | AETNA LIFE INSURANCE CO. | $172K | $0 | $172K | 11.04% |
| ROBYN PIPER3 | 2300 W SAHARA AVE SUITE 800 LAS VEGAS, NC 891024397 | VISION SERVICE PLAN | $67K | $0 | $67K | 12.83% |
| ROBYN PIPER3 | 11622 EL CAMINO REAL SUITE 100 SAN DIEGO, CA 921302051 | KAISER FOUNDATION HEALTH PLAN INC. | $2K | $0 | $2K | 0.85% |
| ROBYN PIPER3 | 2300 W SAHARA AVE LAS VEGAS, NV 89102 | DELTA DENTAL OF CALIFORNIA | $4K | $0 | $4K | 3.00% |
| CHRISTA G AUFDEMBERG INC4 Filed as: CHRISTA G AUFDEMBERG INC. | 13102 BRITTANY WOODS DR TUSTIN, CA 92780 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $10K | $0 | $10K | 19.87% |
| ROBYN PIPER4 | 2300 W SAHARA AVE LAS VEGAS, NV 89102 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $6K | $0 | $6K | 11.57% |
| LOCKTON COMPANIES, LLC4 Filed as: LOCKTON INSURANCE BROKERS LLC | 4275 EXECUTIVE SQ SUITE 600 LA JOLLA, CA 92037 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $1K | $0 | $1K | 2.13% |
| MARY THERESA FISHER4 | 29C OWENS LANDING CT PERRYVILLE, MD 21903 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $54 | $0 | $54 | 0.11% |
| CHARLES A WALTERS4 | 23825 N 65TH DR GLENDALE, AZ 85310 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $36 | $0 | $36 | 0.07% |
| EMPLOYEE BENEFITS MANAGEMENT INC4 Filed as: EMPLOYEE BENEFITS MANAGEMENT | 201 S COURT STREET FLORENCE, AL 35630 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $28 | $0 | $28 | 0.05% |
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 | 4,477 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 4,489 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | AETNA HEALTH, INC. | 701 | $5.4M |
| Dental(2 contracts) | DELTA DENTAL OF CALIFORNIA | 5,568 | $2.3M |
| Vision | VISION SERVICE PLAN | 2,799 | $526K |
| Life insurance | AETNA LIFE INSURANCE CO. | 4,364 | $1.6M |
| Short-term disability | AETNA LIFE INSURANCE CO. | 4,364 | $1.6M |
| Long-term disability | AETNA LIFE INSURANCE CO. | 4,364 | $1.6M |
| Prescription drug(2 contracts, 2 carriers) | AETNA HEALTH, INC. | 701 | $5.1M |
| Other(2 contracts, 2 carriers) | AETNA LIFE INSURANCE CO. | 4,364 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,568 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.