| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CLJM LLC3 | 8235 FORSYTH BLVD SUITE 1200 SAINT LOUIS, MO 63105 | ANTHEM BLUE CROSS BLUE SHIELD | $1K | $635 | $2K | 0.28% |
| J.W. TERRILL3 Filed as: JW TERRILL BENEFIT SERVICES INC | 825 MARYVILLE CENTRE DR SUITE 200 CHESTERFIELD, MO 63017 | ANTHEM BLUE CROSS BLUE SHIELD | $1K | — | $1K | 0.16% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: DANIEL & HENRY COMPANY | 1001 HIGHLANDS PLAZA DR W #500 ST. LOUIS, MO 63110 | ANTHEM BLUE CROSS BLUE SHIELD | -$17 | — | -$17 | -0.00% |
| CLJM LLC3 | 8235 FORSYTH BLVD SUITE 1200 SAINT LOUIS, MO 63105 | HEALTHY ALLIANCE LIFE INSURANCE COMPANY | $4K | — | $4K | 9.94% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS SAINT LOUIS, MO 63131 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $556 | $556 | 2.63% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $366 | — | $366 | 1.73% |
| ILLINOIS AUTO DEALERS ASSN3 | C/O PETER SANDER SPRINGFIELD, IL 62708 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $415 | $415 | 2.27% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$412 | — | -$412 | -2.25% |
| CLJM LLC DBA HUNTLEIGH MCGEHEE3 | 8235 FORSYTH BLVD SUITE 1200 ST. LOUIS, MO 63105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $943 | $611 | $2K | 11.75% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J W TERRILL BENEFIT SERVICES INC | 825 MARYVILLE CENTRE DR SUITE 200 CHESTERFIELD, MO 63107 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $727 | — | $727 | 5.49% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARCH & MCLENNAN AGENCY LLC | 825 MARYVILLE CENTRE DR CHESTERFIELD, MO 63017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $315 | — | $315 | 2.38% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS SAINT LOUIS, MO 63131 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $236 | $236 | 2.38% |
| AMERICAN FIDELITY GENERAL AGENCY3 Filed as: AMERICAN FIDELITY DEALERS ASSN | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$192 | — | -$192 | -1.94% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS SAINT LOUIS, MO 63131 | AMERICAN FIDELITY ASSURANCE COMPANY | $787 | — | $787 | 9.11% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $335 | $335 | 3.88% |
| CLJM LLC DBA HUNTLEIGH MCGEHEE3 | 8235 FORSYTH BLVD SUITE 1200 ST. LOUIS, MO 63105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $361 | $84 | $445 | 6.71% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: J W TERRILL BENEFIT SERVICES INC | 825 MARYVILLE CENTRE DR SUITE 200 CHESTERFIELD, MO 63017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $332 | — | $332 | 5.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARCH & MCLENNAN AGENCY LLC | 825 MARYVILLE CENTRE DR CHESTERFIELD, MO 63017 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $154 | — | $154 | 2.32% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $589 | — | $589 | 10.76% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS SAINT LOUIS, MO 63131 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $113 | $113 | 2.06% |
| IL AUTO DEALERS ASSN3 | C/O MR. PETER J SANDER EXEC VP SPRINGFIELD, MO 62708 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $102 | $102 | 2.11% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$77 | — | -$77 | -1.59% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE GROUP | $365 | — | $365 | 7.74% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS SAINT LOUIS, MO 63131 | AMERICAN FIDELITY ASSURANCE GROUP | — | $139 | $139 | 2.95% |
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 | 167 | 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) | 167 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | ANTHEM BLUE CROSS BLUE SHIELD | 116 | $693K |
| Dental | HEALTHY ALLIANCE LIFE INSURANCE COMPANY | 85 | $45K |
| Vision | ANTHEM BLUE CROSS BLUE SHIELD | 116 | $651K |
| Life insurance | ANTHEM BLUE CROSS BLUE SHIELD | 116 | $651K |
| Short-term disability(7 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 19 | $73K |
| Long-term disability(7 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 19 | $73K |
| Other(4 contracts, 3 carriers) | ANTHEM BLUE CROSS BLUE SHIELD | 198 | $676K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 198 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.