| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | DEPT LA 23940 PASADENA, CA 911850001 | ANTHEM BLUE CROSS BLUE SHIELD | $26K | $202 | $27K | 4.08% |
| CLEVIDENCE INSURANCE SERVICES INC3 Filed as: CLEVIDENCE INSURANCE SERVICES, INC. | 575 ANTON BLVD STE 610 COSTA MESA, CA 926267685 | ANTHEM BLUE CROSS BLUE SHIELD | $3K | — | $3K | 0.50% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | DEPT LA 23940 PASADENA, CA 911850001 | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | $19K | — | $19K | 5.01% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 725 S FIGUEROA ST FL 35 LOS ANGELES, CA 900175435 | KAISER FOUNDATION HEALTH PLAN, INC. | $9K | — | $9K | 4.63% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SVC INC GA | 32110 AGOURA RD WESTLAKE VILLAGE, CA 913614026 | KAISER FOUNDATION HEALTH PLAN, INC. | $7K | — | $7K | 3.75% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | DEPT LA 23940 PASADENA, CA 911850001 | VISION SERVICE PLAN | $1K | — | $1K | 3.23% |
| CLEVIDENCE INSURANCE SERVICES INC3 Filed as: CLEVIDENCE INSURANCE SERVICES, INC. | 3000 W MACARTHUR BLVD STE 320 SANTA ANA, CA 927047907 | VISION SERVICE PLAN | $366 | — | $366 | 1.15% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 725 S FIGUEROA ST #3500 LOS ANGELES, CA 900175524 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $622 | $94 | $716 | 11.51% |
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 | 308 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 308 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ANTHEM BLUE CROSS BLUE SHIELD | 134 | $1.2M |
| Dental | ANTHEM BLUE CROSS BLUE SHIELD | 134 | $650K |
| Vision | VISION SERVICE PLAN | 141 | $32K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 308 | $6K |
| Prescription drug | HEALTH PLAN OF NEVADA/SIERRA HEALTH & LIFE | 111 | $387K |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 308 | $6K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 308 | — |
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.