| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BPJ EMPLOYEE BENEFIT DIVISION3 | 1125 E LAKEWOOD ST SPRINGFIELD, MO 65810 | BERKLEY | $43K | — | $43K | 15.02% |
| SOUTHWEST AGENCY INC3 | 345 S MAIN ST PO BOX 735 CARTHAGE, MO 648360735 | PRINCIPAL LIFE INSURANCE COMPANY | $11K | — | $11K | 13.44% |
| CRAIG LOWRANCE3 | PO BOX 11343 SPRINGFIELD, MO 65808 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 7.40% |
| GIG OF MISSOURI INC3 | 2901 ARIZONA AVENUE PO BOX 940 JOPLIN, MO 648020940 | TRANSAMERICA LIFE INSURANCE COMPANY | $2K | — | $2K | 5.61% |
| ONE SOURCE EMPLOYEE BENEFITS3 | PO BOX 11343 SPRINGFIELD, MO 65808 | TRANSAMERICA LIFE INSURANCE COMPANY | $700 | — | $700 | 2.28% |
| MICHAEL C CHAPMAN3 Filed as: MICHAEL CHAPMAN | 2150 PORTWOOD WAY FORT WORTH, TX 76179 | TRANSAMERICA LIFE INSURANCE COMPANY | $131 | — | $131 | 0.43% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | 11 SCOTT STREET WAUSAU, WI 54403 | $67K |
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 | 155 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 161 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BERKLEY | 158 | $290K |
| Life insurance(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 346 | $109K |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 346 | $78K |
| Prescription drug | BERKLEY | 158 | $290K |
| Stop-loss / reinsurancereinsurance | BERKLEY | 158 | $290K |
| Other(2 contracts, 2 carriers) | BERKLEY | 247 | $320K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 346 | — |
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.