| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 777 SOUTH FIGUEROA LOS ANGELES, CA 90017 | AETNA HEALTH, INC. | $28K | $0 | $28K | 4.81% |
| LOCKTON COMPANIES, LLC3 | 777 SOUTH FIGUEROA LOS ANGELES, CA 90017 | AETNA LIFE INSURANCE COMPANY | $12K | — | $12K | 6.74% |
| LOCKTON COMPANIES, LLC3 | PO BOX 843844 KANSAS CITY, MO 64184 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | $0 | $7K | 4.93% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SVCS, INC. | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | KAISER FOUNDATION HEALTH PLAN, INC. | $2K | $0 | $2K | 1.56% |
| LOCKTON COMPANIES, LLC3 | 777 SOUTH FIGUEROA STREET SUITE 5200 LOS ANGELES, CA 90017 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | — | $8K | 15.65% |
| TOTALIS BENEFITS3 Filed as: TOTALIS BENEFITS, INC | 8777 NORTH GAINEY CENTER DRIVE SUITE 26 SCOTTSDALE, AZ 85258 | PRINCIPAL LIFE INSURANCE COMPANY | $0 | $358 | $358 | 0.68% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | BLUE SHIELD OF CALIFORNIA | $2K | $0 | $2K | 6.80% |
| WELDON G KERR3 Filed as: WELDON G. KERR | 6155 ALMADEN EXPRESSWAY, SUITE 210 SAN JOSE, CA 95120 | BLUE SHIELD OF CALIFORNIA | $579 | $0 | $579 | 1.95% |
| PAYCHEX INSURANCE AGENCY, INC.3 | 225 KENNETH DRIVE ROCHESTER, NY 14623 | BLUE SHIELD OF CALIFORNIA | -$396 | $0 | -$396 | -1.33% |
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 | 417 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 417 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 4 carriers) | AETNA HEALTH, INC. | 167 | $922K |
| Dental | AETNA LIFE INSURANCE COMPANY | 167 | $181K |
| Vision | AETNA LIFE INSURANCE COMPANY | 167 | $181K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 484 | $53K |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 484 | $53K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 484 | $53K |
| Prescription drug(4 contracts, 4 carriers) | AETNA HEALTH, INC. | 167 | $922K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 484 | $53K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 484 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.