| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INCORPORATED | P.O. BOX 678, 111 E. DECATUR ST. DECATUR, IL 62521 | COMPANION LIFE | $6K | — | $6K | 5.00% |
| DANONE SIMPSON INSURANCE SERVICES3 Filed as: DANSIG INCORPORATED | P.O. BOX 678, 111 E. DECATUR ST. DECATUR, IL 62521 | ADVANTICA ADMINISTRATIVE SERVICES, INC. | $3K | — | $3K | 10.00% |
| VHA MID AMERICA INS SVCS | 7415 W 130TH ST STE 200 OVERLAND PARK, KS 66213 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $168 | $1K | 11.34% |
| VHA MID AMERICA INS SVCS3 | 7415 W 130TH ST STE 200 OVERLAND PARK, KS 66213 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $703 | $79 | $782 | 11.13% |
| VHA MID AMERICA INS SVCS3 | 7415 W 130TH ST STE 200 OVERLAND PARK, KS 66213 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $275 | $79 | $354 | 12.86% |
| VHA MID AMERICA INS SVCS3 | 7415 W 130TH ST STE 200 OVERLAND PARK, KS 66213 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $171 | $68 | $239 | 13.95% |
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 | 144 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 144 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | ADVANTICA ADMINISTRATIVE SERVICES, INC. | 147 | $26K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 57 | $7K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 144 | $15K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 144 | $4K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 149 | — |
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.