| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | P.O. BOX 123042 DALLAS, TX 753123042 | VISION SERVICE PLAN | $4K | — | $4K | 1.37% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVE STE 1200 DALLAS, TX 752012739 | RELIASTAR LIFE INSURANCE COMPANY | $63K | — | $63K | 25.50% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC - DALLAS | 500 W. MONROE STREET SUITE 3400 CHICAGO, IL 60661 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $7K | — | $7K | 3.50% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON FINANCIAL ADVISORS LLC | 444 W 47TH ST STE 900 KANSAS CITY, MO 641121906 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $20K | — | $20K | 22.53% |
| MICHAEL BEHRENS3 Filed as: MICHAEL J VANDERVEEN | 249 REGAL CT SW GRANDVILLE, MI 494183229 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $2 | — | $2 | 0.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES - KC SERIES | C/O COMMERCE BANK P.O. BOX 843844 KANSAS CITY, MO 64184 | METLIFE LEGAL PLANS | $4K | — | $4K | 7.86% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES - MOUNTAIN WEST | PO BOX 173850 DEPT 999228 DENVER, CO 80217 | METLIFE LEGAL PLANS | — | $484 | $484 | 0.89% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | C/O COMERICA BANK PO BOX 671284 DALLAS, TX 75267 | METLIFE LEGAL PLANS | — | $52 | $52 | 0.10% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST STE 900 KANSAS CITY, MO 64112 | METLIFE LEGAL PLANS | -$385 | — | -$385 | -0.71% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVE STE 1200 DALLAS, TX 75201 | FOUR EVER LIFE INS CO. | $732 | — | $732 | 14.99% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LIFEWORKS (US) LTD EIN 52-1883918 | Insurance brokerage commissions and fees Service code 53 | 115 PERIMETER CENTER PKWY NE #1050 ATLANTA, GA 30346 | $65K |
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 | 1,934 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 96 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,030 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 148 | $1.6M |
| Vision | VISION SERVICE PLAN | 1,215 | $277K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,189 | $806K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 374 | $160K |
| Long-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 325 | $307K |
| Other(5 contracts, 5 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 1,908 | $511K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,189 | — |
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."
No prospect flags tripped on this filing.