| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 753123042 | MINNESOTA LIFE INSURANCE COMPANY | — | $29K | $29K | 2.26% |
| LOCKTON COMPANIES, LLC3 Filed as: KANSAS CITY SERIES OF LOCKTON | PO BOX 843844 KANSAS CITY, MO 641843844 | MINNESOTA LIFE INSURANCE COMPANY | $19K | — | $19K | 1.46% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 753123042 | MINNESOTA LIFE INSURANCE COMPANY | — | $10K | $10K | 2.26% |
| LOCKTON COMPANIES, LLC3 Filed as: KANSAS CITY SERIES OF LOCKTON | PO BOX 843844 KANSAS CITY, MO 641843844 | MINNESOTA LIFE INSURANCE COMPANY | $6K | — | $6K | 1.46% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 753123042 | MINNESOTA LIFE INSURANCE COMPANY | — | $2K | $2K | 2.32% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| NORTH SHORE BANK OF COMMERCE EIN 41-0138390 TRUSTEE | Investment advisory (participants) Service code 26 | 131 WEST SUPERIOR STREET DULUTH, MN 55802 | $11K |
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 | 1,146 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1,208 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,354 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(3 contracts) | MINNESOTA LIFE INSURANCE COMPANY | 2,370 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,370 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.