| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | UNITEDHEALTHCARE INSURANCE COMPANY | $40K | — | $40K | 3.88% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | KAISER FOUNDATION HEALTH PLAN INC | $21K | — | $21K | 3.73% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | KAISER FOUNDATION HEALTH PLAN INC | $17K | — | $17K | 3.83% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | $7K | — | $7K | 4.53% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF CALIFORNIA | $15K | — | $15K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 500 W. MONROE STREET, SUITE 3400 CHICAGO, IL 60661 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $4K | $19 | $4K | 2.92% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | $1K | — | $1K | 2.53% |
| LOCKTON COMPANIES, LLC3 | 777 SOUTH FIGUEROA STREET, FLOOR 52 LOS ANGELES, CA 90017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $378 | $378 | 1.52% |
| LOCKTON COMPANIES, LLC3 | 777 SOUTH FIGUEROA STREET, FLOOR 52 LOS ANGELES, CA 90017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $557 | $557 | 2.26% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | VISION SERVICE PLAN | $1K | — | $1K | 5.05% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC. | $406 | — | $406 | 1.79% |
| LOCKTON COMPANIES, LLC3 | 777 SOUTH FIGUEROA STREET, FLOOR 52 LOS ANGELES, CA 90017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $587 | $587 | 3.30% |
| LOCKTON COMPANIES, LLC3 | 777 SOUTH FIGUEROA STREET, FLOOR 52 LOS ANGELES, CA 90017 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $450 | $450 | 3.56% |
| KRISTINE T RINGROSE3 | 48 SUMMIT AVENUE SAN RAFAEL, CA 94901 | AFLAC | $274 | — | $274 | 2.63% |
| TRULY B. PINEDA3 Filed as: TRULY B PINEDA | 601 MONTGOMERY STREET, SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $194 | — | $194 | 1.86% |
| GERI KRUEGER3 | 4160 GREEN VALLEY ROAD FAIRFIELD, CA 94534 | AFLAC | $88 | — | $88 | 0.84% |
| LAURA RUNYEON3 Filed as: LAURA J RUNYEON | 2042 WEATHERBY WAY PETALUMA, CA 94954 | AFLAC | $75 | — | $75 | 0.72% |
| ANNA JANICE RUIZ3 | 2596 17TH AVENUE SAN FRANCISCO, CA 94116 | AFLAC | $44 | — | $44 | 0.42% |
| CHRIS BRANSON3 | PO BOX 930 MAKAWAO, HI 96768 | AFLAC | $43 | — | $43 | 0.41% |
| PAUL GALLEGOS3 | 10519 SHOSHONE AVENUE GRANADA HILLS, CA 91344 | AFLAC | $40 | — | $40 | 0.38% |
| JON P BATES JR3 | 440 REGENTS PARK DRIVE VALLEJO, CA 94591 | AFLAC | $35 | — | $35 | 0.34% |
| JD HOLDER ENTERPRISES INC3 | 8220 UNIVERSITY AVENUE, SUITE 200 LA MESA, CA 91942 | AFLAC | $27 | — | $27 | 0.26% |
| EDWARD I LIEF3 | 11105 MAIN STREET, NE UNIT 31 DONALD, OR 97020 | AFLAC | $24 | — | $24 | 0.23% |
| LAUREL NICOLE HARMS3 | 785 TURRINI DRIVE DANVILLE, CA 94526 | AFLAC | $21 | — | $21 | 0.20% |
| ALLISON FARRIS WENDELBERGER3 | 207 SANTA FE DRIVE WALNUT CREEK, CA 94598 | AFLAC | $20 | — | $20 | 0.19% |
| BRIAN G JAEGGI3 | 15607 W LILLI WAY VAN NUYS, CA 91406 | AFLAC | $19 | — | $19 | 0.18% |
| RICHARD J KUNZ3 | 601 MONTGOMERY STREET, SUITE 1475 SAN FRANCISCO, CA 94111 | AFLAC | $15 | — | $15 | 0.14% |
| MICHAEL C WALKER3 Filed as: MICHAEL JAMES RHODD | 4160 GREEN VALLEY ROAD FAIRFIELD, CA 94534 | AFLAC | $11 | — | $11 | 0.11% |
| JAMES S SARANTIS3 | 14132 SE FIRCREST COURT PORTLAND, OR 97236 | AFLAC | $10 | — | $10 | 0.10% |
| ADAM H MICHAELS3 | 2922 CORDA LANE LOS ANGELES, CA 90049 | AFLAC | $7 | — | $7 | 0.07% |
| PETER JAMES SARANTIS3 | 26200 TOWN CENTER DRIVE, SUITE 110 NOVI, MI 48375 | AFLAC | $6 | — | $6 | 0.06% |
| DIGITAL INSURANCE LLC3 | 2682 BISHOP DRIVE, SUITE 214 SAN RAMON, CA 94583 | AFLAC | $5 | — | $5 | 0.05% |
| ANDREW R GRETHEL3 | 11739 HICKORY RUN COURT LOVELAND, OH 45140 | AFLAC | $4 | — | $4 | 0.04% |
| COLLEEN M LAPRADE3 | 6005 HIDDEN VALLEY ROAD, SUITE 150 CARLSBAD, CA 92011 | AFLAC | $4 | — | $4 | 0.04% |
| DAWN T SUCHECKI3 | 225 S WATER STREET WILMINGTON, NC 28401 | AFLAC | $4 | — | $4 | 0.04% |
| LES HEINSEN INS SERVICES INC3 | 4416 VIA PALAGIO FAIR OAKS, CA 95628 | AFLAC | $3 | — | $3 | 0.03% |
| GUILLERMO H PALOMINO3 | 2319 E EDNA AVENUE PHOENIX, AZ 85022 | AFLAC | $3 | — | $3 | 0.03% |
| JAMES S SARANTIS3 | 2281 LAVA RIDGE COURT, SUITE 130 ROSEVILLE, CA 95661 | AFLAC | $3 | — | $3 | 0.03% |
| CHRISTOPHER HAGER3 | 8021 TRUXTON AVENUE LOS ANGELES, CA 90045 | AFLAC | $2 | — | $2 | 0.02% |
| JONATHAN ALI HAJIMOMEN3 Filed as: JONATHAN DANIEL PAYNE | 3572 SHADOWTREE LANE CHICO, CA 95928 | AFLAC | $2 | — | $2 | 0.02% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK STREET, SUITE 615 CHICAGO, IL 60654 | AFLAC | $2 | — | $2 | 0.02% |
| VICTORIA L FLYNN3 Filed as: VICTORIA HOWARD | 1365 CAMINO PERAL, A MORAGA, CA 94556 | AFLAC | $2 | — | $2 | 0.02% |
| PETER JAMES SARANTIS3 | 7775 DUTRA BEND DRIVE SACRAMENTO, CA 95831 | AFLAC | $2 | — | $2 | 0.02% |
| NICHOLAS E VIGIL3 | 120 ROCKBOLT CIRCLE FOLSOM, CA 95630 | AFLAC | $1 | — | $1 | 0.01% |
| KRISTINA J KUNZ3 | 118 GRANVILLE WAY SAN FRANCISCO, CA 94127 | AFLAC | $1 | — | $1 | 0.01% |
| GUILLERMO H PALOMINO3 | 21155 N 56TH STREET, APT 2120 PHOENIX, AZ 85054 | AFLAC | $1 | — | $1 | 0.01% |
| MICHAEL C WALKER3 Filed as: MICHAEL A STACHOWIAK | 321 N CLARK STREET, SUITE 625 CHICAGO, IL 60654 | AFLAC | $1 | — | $1 | 0.01% |
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 | 328 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 329 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(8 contracts, 7 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 103 | $2.4M |
| Dental | DELTA DENTAL OF CALIFORNIA | 334 | $153K |
| Vision | VISION SERVICE PLAN | 154 | $25K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 328 | $37K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 327 | $25K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 327 | $18K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 328 | $37K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 334 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.