| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 333 SOUTH HOPE STREET, SUITE 3750 LOS ANGELES, CA 90071 | HEALTH NET | $63K | — | $63K | 2.84% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 777 S. FIGUEROA STREET STE 5200 LOS ANGELES, CA 90017 | HEALTH NET | $48K | — | $48K | 2.16% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 777 S. FIGUEROA STREET STE 5200 LOS ANGELES, CA 90017 | KAISER FOUNDATION HEALTH PLAN, INC. | $18K | — | $18K | 2.51% |
| ALLIANT INSURANCE SERVICES, INC.3 | 333 SOUTH HOPE STREET, SUITE 3750 LOS ANGELES, CA 90071 | KAISER FOUNDATION HEALTH PLAN, INC. | $18K | — | $18K | 2.47% |
| ALLIANT INSURANCE SERVICES, INC.3 | 333 SOUTH HOPE STREET, SUITE 3750 LOS ANGELES, CA 90071 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 6.05% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 777 S. FIGUEROA STREET STE 5200 LOS ANGELES, CA 90017 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | — | $2K | 3.95% |
| BCI INSURANCE SOLUTIONS, INC.3 Filed as: BCI INSURANCE SOLUTIONS, INC | 800 GESSNER, SUITE 300 HOUSTON, TX 77024 | PRINCIPAL LIFE INSURANCE COMPANY | — | $2K | $2K | 3.58% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 2100 ROSS AVENUE SUITE 1200 DALLAS, TX 75201 | HARTFORD LIFE AND ACCIDENT | — | $400 | $400 | 1.57% |
| ALLIANT INSURANCE SERVICES, INC.3 | 333 SOUTH HOPE STREET, SUITE 3750 LOS ANGELES, CA 90071 | HARTFORD LIFE AND ACCIDENT | — | $341 | $341 | 1.34% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 777 S. FIGUEROA STREET, 52ND FLOOR LOS ANGELES, CA 90017 | EYEMED VISION CARE | $649 | — | $649 | 4.24% |
| ALLIANT INSURANCE SERVICES, INC.3 | 333 SOUTH HOPE STREET, SUITE 3750 LOS ANGELES, CA 90071 | DELTA DENTAL OF CALIFORNIA | $686 | — | $686 | 8.81% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 500 WEST MONROE #3400 CHICAGO, IL 60661 | DELTA DENTAL OF CALIFORNIA | $185 | — | $185 | 2.38% |
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 | 626 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 628 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 318 | $2.9M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 94 | $63K |
| Vision | EYEMED VISION CARE | 152 | $15K |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 626 | $25K |
| Prescription drug(2 contracts, 2 carriers) | HEALTH NET | 318 | $2.9M |
| Other | HARTFORD LIFE AND ACCIDENT | 626 | $25K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 626 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.