| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | P.O. BOX 123042 DALLAS, TX 753123042 | VISION SERVICE PLAN | $5K | — | $5K | 1.88% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVE STE 1200 DALLAS, TX 75201 | RELIASTAR LIFE INSURANCE COMPANY | $61K | — | $61K | 26.72% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC - DALLAS | 500 W. MONROE STREET SUITE 3400 CHICAGO, IL 60661 | KAISER FOUNDATION HEALTH PLAN OF HAWAII | $4K | — | $4K | 3.16% |
| MICHAEL BEHRENS3 Filed as: MICHAEL J VANDERVEEN | 249 REGAL CT SW GRANDVILLE, MI 494183229 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES - KC SERIES | C/O COMMERCE BANK P.O. BOX 843844 KANSAS CITY, MO 64184 | METLIFE LEGAL PLANS | $3K | — | $3K | 7.91% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES - MOUNTAIN WEST | PO BOX 173850 DEPT 999228 DENVER, CO 80217 | METLIFE LEGAL PLANS | — | $538 | $538 | 1.36% |
| LOCKTON COMPANIES, LLC3 | 444 W 47TH ST STE 900 KANSAS CITY, MO 641121906 | METLIFE LEGAL PLANS | — | $72 | $72 | 0.18% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | C/O COMERICA BANK PO BOX 671284 DALLAS, TX 752671284 | METLIFE LEGAL PLANS | — | $71 | $71 | 0.18% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LIFEWORKS (US) LTD. EIN 52-1883918 | Insurance brokerage commissions and fees Service code 53 | 115 PERIMETER CENTER PLACE ATLANTA, GA 30346 | $22K |
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 | 1,745 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 1,761 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 4 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 136 | $1.1M |
| Vision | VISION SERVICE PLAN | 1,137 | $243K |
| Life insurance(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,774 | $580K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 358 | $126K |
| Long-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 1,005 | $334K |
| Other(5 contracts, 5 carriers) | RELIASTAR LIFE INSURANCE COMPANY | 2,276 | $417K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,774 | — |
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.