| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: CARAVUS LLC | 168 N MERAMEC AVE SUITE 300 SAINT LOUIS, MO 63105 | HEALTHY ALLIANCE LIFE INSURANCE COMPANY | $25K | $2K | $26K | 4.05% |
| ENROLLEASE3 Filed as: CARAVUS LLC | 168 N MERAMEC AVE SUITE 300 SAINT LOUIS, MO 63105 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $0 | $1K | $1K | 5.16% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 8.23% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $482 | $482 | 2.13% |
| IL AUTO DEALERS ASSN3 | C/O MR. JOE MCMAHON SPRINGFIELD, IL 62704 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $328 | $328 | 1.72% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $30 | — | $30 | 0.16% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $700 | — | $700 | 5.04% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $372 | $372 | 2.68% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $1K | — | $1K | 9.25% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $298 | $298 | 2.48% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE GROUP | $1K | — | $1K | 10.80% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE GROUP | $0 | $194 | $194 | 2.07% |
| IL AUTO DEALERS ASSN3 | C/O MR. JOE MCMAHON SPRINGFIELD, IL 62704 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $68 | $68 | 1.40% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | -$402 | — | -$402 | -8.28% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | P.O. BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $241 | — | $241 | 24.77% |
| MISSOURI AUTO DEALERS ASSN3 | C/O JULIE SELLS JEFFERSON CITY, MO 65102 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $21 | $21 | 2.16% |
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 | 153 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(6 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 20 | $82K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 153 | $25K |
| Vision(2 contracts, 2 carriers) | HEALTHY ALLIANCE LIFE INSURANCE COMPANY | 153 | $679K |
| Life insurance | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 153 | $25K |
| Short-term disability(7 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 153 | $106K |
| Long-term disability(7 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 20 | $83K |
| Other(8 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 153 | $107K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 153 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.