| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: CARAVUS LLC | 168 N MERAMEC AVE #300 ST. LOUIS, MO 63105 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 2.10% |
| MARSH & MCLENNAN AGENCY LLC3 | 3625 N ELM ST 200 GREENSBORO, NC 27455 | ANTHEM LIFE INSURANCE COMPANY | -$168 | — | -$168 | -0.15% |
| ENROLLEASE3 Filed as: CARAVUS LLC | 168 N MERAMEC AVE 300 SAINT LOUIS, MO 63105 | ANTHEM LIFE INSURANCE COMPANY | $2K | — | $2K | 1.94% |
| MARSH & MCLENNAN AGENCY LLC3 | 3625 N ELM ST 200 GREENSBORO, NC 27455 | ANTHEM LIFE INSURANCE COMPANY | -$168 | — | -$168 | -0.15% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $886 | — | $886 | 3.46% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $604 | $604 | 2.36% |
| IL AUTO DEALERS ASSN3 | C/O MR PETER J SANDER EXEC VP SPRINGFIELD, IL 62708 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $357 | $357 | 2.28% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $269 | — | $269 | 1.72% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 12.12% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $247 | $247 | 2.35% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $280 | $280 | 3.27% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$257 | — | -$257 | -3.00% |
| ENROLLEASE3 Filed as: CARAVUS LLC | 168 N MERAMEC AVE #300 ST. LOUIS, MO 63105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $882 | — | $882 | 15.00% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE GROUP | $742 | — | $742 | 14.28% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE GROUP | — | $119 | $119 | 2.29% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $780 | — | $780 | 15.32% |
| IL AUTO DEALERS ASSN3 | C/O MR. PETER J SANDER EXEC VP SPRINGFIELD, IL 62708 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $86 | $86 | 1.69% |
| ENROLLEASE3 Filed as: CARAVUS LLC | 168 N MERAMEC AVE #300 ST. LOUIS, MO 63105 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $9 | — | $9 | 0.29% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $593 | — | $593 | 29.21% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $53 | $53 | 2.61% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $307 | — | $307 | 17.60% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $58 | $58 | 3.33% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HEALTHY ALLIANCE LIFE INS CO EIN 86-0257201 ADMINISTRATOR | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Other services; Contract Administrator; Claims processing Service code 12 | — | $50K |
| HEALTHY ALLIANCE LIFE INSURANCE CO EIN 86-0257201 ADMINISTRATOR | Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.); Claims processing; Contract Administrator; Other services Service code 12 | — | $49K |
| INGENIORX, INC EIN 82-3062245 ADMINISTRATOR | Other services; Claims processing; Contract Administrator; Float revenue; Recordkeeping and information management (computing, tabulating, data processing, etc.) Service code 12 | — | -$28K |
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 | 177 | 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) | 177 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 23 | $71K |
| Vision(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 169 | $218K |
| Life insurance(2 contracts) | ANTHEM LIFE INSURANCE COMPANY | 169 | $218K |
| Short-term disability(8 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 23 | $74K |
| Long-term disability(8 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 23 | $74K |
| Stop-loss / reinsurancereinsurance(3 contracts, 2 carriers) | ANTHEM LIFE INSURANCE COMPANY | 169 | $218K |
| Other(9 contracts, 2 carriers) | AMERICAN FIDELITY ASSURANCE COMPANY | 176 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 176 | — |
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.