| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 500 W MONROE STREET SUITE 3400 CHICAGO, IL 60661 | AETNA LIFE INSURANCE COMPANY | $74K | $237 | $75K | 0.35% |
| LOCKTON COMPANIES, LLC3 | 15939 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $41K | $50K | $92K | 3.55% |
| RICHARD W VAN LEUVAN3 | 3715 NORTHSIDE PARKWAY NW BUILDING 200, SUITE 610 ATLANTA, GA 30327 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 0.07% |
| FISC INVESTMENT SERVICES CORP3 | 1849 CLAIRMONT ROAD DECATUR, GA 30033 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $888 | $888 | 0.03% |
| CHRISTOPHER LYNN BROYLES3 Filed as: CHRISTOPHER, LYNN BROYLES | 2878 JOHNSON FERRY ROAD SUITE 150 MARIETTA, GA 30062 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $885 | $0 | $885 | 0.03% |
| LOCKTON COMPANIES, LLC3 | 500 WEST MONROE STREET, SUITE 3400 CHICAGO, IL 60661 | METROPOLITAN LIFE INSURANCE COMPANY | $25K | $57 | $25K | 1.85% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $19K | $19K | 1.37% |
| STEVEN PERSKY & ASSOCIATES LTD3 Filed as: STEVEN R PERSKY | SIX WEST HUBBARD STREET 7TH FLOOR CHICAGO, IL 60654 | METROPOLITAN LIFE INSURANCE COMPANY | $14K | $0 | $14K | 1.00% |
| LOCKTON COMPANIES, LLC3 | 15939 COLLECTIONS CENTER DRIVE CHICAGO, IL 60693 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $95K | $11K | $107K | 19.28% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $22K | $22K | 4.06% |
| DANIEL J WISTED3 Filed as: DANIEL J. WISTED | 3440 PRESTON RIDGE ROAD SUITE 325 ALPHARETTA, GA 30005 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $1K | $3K | 0.55% |
| AON CONSULTING INC3 | 29840 NETWORK PLACE CHICAGO, IL 60673 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 0.35% |
| KEY EXECUTIVE & EMPLOYEE PLANS, INC3 Filed as: KEY EXECUTIVE AND EMPLOYEE PLANS | 1870 THE EXCHANGE SE SUITE 100 ATLANTA, GA 30339 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $490 | $0 | $490 | 0.09% |
| KELLEY, JOHN, WALTER3 | 4061 POWDER MILL ROAD SUITE 700 CALVERTON, MD 20705 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $109 | $0 | $109 | 0.02% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN R. JAGGER | 1085 LULLWATER ROAD NE ATLANTA, GA 30307 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $61 | $0 | $61 | 0.01% |
| STEVEN PERSKY & ASSOCIATES LTD3 Filed as: STEVEN PERSKY AND ASSOCIATES | SIX WEST HUBBARD STREET 7TH FLOOR CHICAGO, IL 60654 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | -$7 | $0 | -$7 | -0.00% |
| LOCKTON COMPANIES, LLC3 | PO BOX 843844 KANSAS CITY, MO 64184 | KAISER FOUNDATION HEALTH PLAN INC | $14K | $1 | $14K | 3.81% |
| LOCKTON COMPANIES, LLC3 | 500 WEST MONROE STREET, SUITE 3400 CHICAGO, IL 60606 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $11K | $0 | $11K | 10.07% |
| LOCKTON COMPANIES, LLC3 | 500 WEST MONROE STREET SUITE 3400 CHICAGO, IL 60661 | FEDERAL INSURANCE COMPANY | $7K | $0 | $7K | 15.00% |
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 | 1,894 | 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) | 1,894 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | AETNA LIFE INSURANCE COMPANY | 2,832 | $21.8M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 2,744 | $1.4M |
| Vision | EYEMED VISION CARE | 2,198 | $175K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,894 | $2.6M |
| Short-term disability(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 2,744 | $1.9M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,894 | $2.6M |
| Prescription drug(2 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 2,832 | $21.7M |
| Other(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,894 | $3.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,832 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.