| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | PO BOX 843844 KANSAS CITY, MO 64184 | BLUE CROSS BLUE SHIELD OF TEXAS | $13K | $71K | $84K | 2.76% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD SUITE 100 LEAWOOD, KS 66211 | BLUE CROSS BLUE SHIELD OF TEXAS | $27K | $0 | $27K | 0.88% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD SUITE 100 LEAWOOD, KS 66211 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $60K | $0 | $60K | 3.28% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | PO BOX 675382 DALLAS, TX 75267 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $30K | $0 | $30K | 1.65% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | CONTINENTAL AMERICAN INSURANCE COMPANY | $96K | $37K | $134K | 10.41% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD LEAWOOD, AZ 66211 | CONTINENTAL AMERICAN INSURANCE COMPANY | $96K | $0 | $96K | 7.50% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD SUITE 100 LEAWOOD, KS 66211 | RELISTAR LIFE INSURANCE COMPANY | $79K | $16K | $95K | 11.88% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 2100 ROSS AVE STE 1200 DALLAS, TX 75201 | RELISTAR LIFE INSURANCE COMPANY | $41K | $8K | $49K | 6.12% |
| BENE RE LLC3 | 5217 MONROE ST STE B TOLEDO, OH 43623 | RELISTAR LIFE INSURANCE COMPANY | $0 | $40K | $40K | 5.00% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE STE 203 ORLANDO, FL 32801 | RELISTAR LIFE INSURANCE COMPANY | $0 | $12K | $12K | 1.53% |
| LOCKTON COMPANIES, LLC3 Filed as: IAS SERIES OF LOCKTON SPECIAL TIES | 180 MONTGOMERY ST SUITE 100 SAN FRANCISCO, KS 94104 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $46K | $46K | 16.81% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 SUITE 100 DALLAS, KS 75312 | METROPOLITAN LIFE INSURANCE COMPANY | $27K | $70 | $27K | 9.73% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD SUITE 100 LEAWOOD, KS 66211 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $0 | $14K | 4.95% |
| PLANSOURCE BENEFITS ADMINISTRATION3 | 101 S GARLAND AVE STE 3 ORLANDO, FL 32801 | METROPOLITAN LIFE INSURANCE COMPANY | $8K | $0 | $8K | 2.93% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 650823 DALLAS, TX 75265 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 0.91% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DEP 3042 DALLAS, TX 75312 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $18 | $18 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF TEXAS EIN 36-1236610 MEDICAL PLAN TPA | Contract Administrator; Claims processing Service code 12 | — | $2.0M |
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 | 4,870 | 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) | 4,870 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 3,371 | $1.8M |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 2,836 | $274K |
| Life insurance | CONTINENTAL AMERICAN INSURANCE COMPANY | 4,870 | $1.3M |
| Long-term disability | CONTINENTAL AMERICAN INSURANCE COMPANY | 4,870 | $1.3M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF TEXAS | 4,805 | $3.0M |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 4,870 | $2.1M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 4,870 | — |
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.