| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: DAVID ARVOLA / LOCKTON COMPANIES | 3 CITY PLACE DRIVE SUITE 900 ST. LOUIS, MO 63141 | DELTA DENTAL OF WISCONSIN | $0 | $0 | $0 | 0.00% |
| LOCKTON COMPANIES, LLC3 Filed as: RICH REDA / LOCKTON COMPANIES, LLC | 444 W. 47TH STREET SUITE 600 KANSAS CITY, MO 64112 | DEAN HEALTH PLAN INC. | $21K | $0 | $21K | 1.25% |
| LOCKTON COMPANIES, LLC3 Filed as: DAVID ARVOLA / LOCKTON COMPANIES | 3 CITY PLACE DRIVE ST. LOUIS, MO 63141 | GROUP HEALTH COOPERATIVE OF SOUTH CENTRAL WISCONSIN | $37K | $0 | $37K | 4.83% |
| LOCKTON COMPANIES, LLC3 Filed as: DEENA SCHAFFER / LOCKTON COMPANIES | 444 W. 47TH STREET KANSAS CITY, MO 64112 | FIRST RELIANCE STANDARD | $0 | $11K | $11K | 1.70% |
| LOCKTON COMPANIES, LLC3 Filed as: DEENA SCHAFFER / LOCKTON COMPANIES | 444 W. 47TH STREET KANSAS CITY, MO 64112 | FIRST RELIANCE STANDARD | $0 | $11K | $11K | 1.95% |
| LOCKTON COMPANIES, LLC3 Filed as: DAVID ARVOLA / LOCKTON COMPANIES | 3 CITY PLACE DRIVE SUITE 900 ST. LOUIS, MO 63141 | WYSSTA INSURANCE COMPANY INC | $0 | $0 | $0 | 0.00% |
| LOCKTON COMPANIES, LLC3 Filed as: DEENA SCHAFFER / LOCKTON COMPANIES | 444 W. 47TH STREET KANSAS CITY, MO 64112 | FIRST RELIANCE STANDARD | $35K | $5K | $40K | 17.06% |
| LOCKTON COMPANIES, LLC3 Filed as: DEENA SCHAFFER / LOCKTON COMPANIES | 444 W. 47TH STREET KANSAS CITY, MO 64112 | FIRST RELIANCE STANDARD | $16K | $2K | $18K | 21.85% |
| LOCKTON COMPANIES, LLC3 Filed as: JAYNE PRIOR / LOCKTON COMPANIES LLC | 3 CITY PLACE DRIVE SUITE 900 ST. LOUIS, MO 63141 | FIRST RELIANCE STANDARD | $3K | $370 | $4K | 8.65% |
| LOCKTON COMPANIES, LLC3 Filed as: DEENA SCHAFFER / LOCKTON COMPANIES | 444 W. 47TH STREET KANSAS CITY, MO 64112 | FIRST RELIANCE STANDARD | $4K | $640 | $5K | 17.26% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MATRIX ABSENCE MANAGEMENT, INC. EIN 77-0493584 NONE | Claims processing Service code 12 | — | $82K |
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 | 3,676 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 85 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 38 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,799 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | DEAN HEALTH PLAN INC. | 334 | $2.5M |
| Dental | DELTA DENTAL OF WISCONSIN | 2,958 | $2.0M |
| Vision | WYSSTA INSURANCE COMPANY INC | 2,675 | $327K |
| Life insurance(2 contracts) | FIRST RELIANCE STANDARD | 2,974 | $800K |
| Short-term disability | FIRST RELIANCE STANDARD | 456 | $43K |
| Long-term disability | FIRST RELIANCE STANDARD | 2,977 | $648K |
| Prescription drug | QUARTZ HEALTH BENEFIT PLANS CORPORATION | 206 | $1.4M |
| Other(5 contracts) | FIRST RELIANCE STANDARD | 2,974 | $954K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,977 | — |
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."
No prospect flags tripped on this filing.