| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | DEPARTMENT LA 23940 PASADENA, CA 91185 | BLUE CROSS OF CALIFORNIA | $54K | $0 | $54K | 2.65% |
| LOCKTON COMPANIES, LLC3 | 8110 EAST UNION, SUITE 700 DENVER, CO 80237 | BLUE CROSS OF CALIFORNIA | $38K | $4K | $42K | 2.07% |
| LOCKTON COMPANIES, LLC3 | 725 SOUTH FIGUEROA STREET 35TH FLOOR LOS ANGELES, CA 90017 | KAISER FOUNDATION HEALTH PLAN INC | $14K | $0 | $14K | 3.91% |
| DAVID JACOB HOLPER3 Filed as: DAVID JACOB HOLDER | 22937 ARLINGTON AVENUE, SUITE 102 TORRANCE, CA 90501 | AFLAC | $4K | $573 | $4K | 11.88% |
| ACEVES INSURANCE SERVICES INC.3 | 9959 BROOKSHIRE AVENUE DOWNEY, CA 90240 | AFLAC | $1K | $148 | $2K | 4.37% |
| MARK H MAZZA3 Filed as: MARK H. MAZZA | 1070 SOUTH RIMWOOD DRIVE ANAHEIM, CA 92807 | AFLAC | $1K | $140 | $1K | 3.13% |
| CASSANDRA GREEN3 | 10541 CALLE LEE, SUITE 125 LOS ALAMITOS, CA 90720 | AFLAC | $714 | $140 | $854 | 2.29% |
| MJ INSURANCE3 Filed as: JASON N. DOIG AND VARIOUS AGENTS | 1932 EAST DEERE AVENUE, SUITE 240 SANTA ANA, CA 92705 | AFLAC | $448 | $8 | $456 | 1.22% |
| KRISTEN BRUNZELL3 Filed as: KRISTEN M. BRUNZELL | 340 EAST FIRST STREET, UNIT 3746 TUSTIN, CA 92781 | AFLAC | $150 | $0 | $150 | 0.40% |
| NICHOLAS K. GREEN3 | 10541 CALLE LEE, SUITE 125 LOS ALAMITOS, CA 90720 | AFLAC | $127 | $0 | $127 | 0.34% |
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 | 350 | 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) | 350 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 625 | $2.4M |
| Dental(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 625 | $2.1M |
| Vision(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 625 | $2.1M |
| Life insurance(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 625 | $2.1M |
| Short-term disability | AFLAC | 57 | $37K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 625 | $2.4M |
| Other(2 contracts, 2 carriers) | BLUE CROSS OF CALIFORNIA | 625 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 625 | — |
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.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.