| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | HCC LIFE INSURANCE COMPANY | $23K | — | $23K | 4.99% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | DELTA DENTAL OF MISSOURI | $1K | — | $1K | 0.62% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 1.38% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVE., SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $95 | $95 | 0.06% |
| AMEEN AL AMEEN3 | 2410 TERESA CIR APT H TAMPA, FL 33629 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.54% |
| KEVIN J DICKHERBER3 | 3500 S SCOTT BOULEVARD, SUITE 2B COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 3.01% |
| ALEXANDER I MIRO3 | 3406 KEENES EDGE COLUMBIA, MO 65201 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.53% |
| ASHTON CONSULTING INC3 | 2101 CORONA ROAD SUITE 200 COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $867 | — | $867 | 1.66% |
| FRANK HIGGINS3 Filed as: FRANK L. HIGGINS | 3509 GETTYSBURG PLACE JEFFERSON CITY, MO 65109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $702 | — | $702 | 1.35% |
| THE INSURANCE GROUP3 Filed as: THE INSURANCE GROUP INC | 200 E SOUTHAMPTON DR COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $321 | — | $321 | 0.62% |
| JEFFREY M SATTERLEE3 Filed as: JEFFREY M. SATTERLEE | 6565 AMERICAS PARKWAY NE SUITE 115 ALBUQUERQUE, NM 87110 | CONTINENTAL AMERICAN INSURANCE COMPANY | $257 | — | $257 | 0.49% |
| BRADLEY K HARRISON3 | 210 PRODO DRIVE JEFFERSON CITY, MO 65109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $239 | — | $239 | 0.46% |
| AUSTIN J PETERSON3 Filed as: AUSTIN J. PETERSON | 11116 AURORA AVE URBANDALE, IA 50322 | CONTINENTAL AMERICAN INSURANCE COMPANY | $68 | — | $68 | 0.13% |
| DANNY G HUNT3 | 2101 CORONA ROAD SUITE 201 COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $39 | — | $39 | 0.07% |
| JOHN MYERS3 Filed as: JOHN MEYERS | 16024 MANCHES TER ROAD ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.07% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DRIVE DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INSURANCE COMPANY | $37 | — | $37 | 0.07% |
| AARON C EVERLY3 | 2101 W BROADWAY SUITE 200 COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | — | $33 | 0.06% |
| CHAD M POSTON3 | 2101 W BROADWAY SUITE 200 COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $33 | — | $33 | 0.06% |
| RACHELLE J MEYERS3 | 3912 N COTTONWOOD CT COLUMBIA, MO 65202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $23 | — | $23 | 0.04% |
| CHRISTIE S LANDWEHR3 Filed as: CHRISTIE S. LANDWEHR | 210 PRODO DR JEFFERSON CITY, MO 65109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $104K |
| OPTUMRX, INC. EIN 33-0441200 PHARMACY BENEFIT MGMT. | Direct payment from the plan; Float revenue; Other fees; Claims processing Service code 12 | — | $22K |
| TRIA HEALTH, LLC EIN 27-1515235 CLAIMS PROCESSING | Claims processing Service code 12 | — | $21K |
| NEW DIRECTIONS BEHAVIORAL HEALTH EIN 43-1698690 EAP ADMINISTRATOR | Contract Administrator Service code 13 | — | $12K |
| THE PRUDENTIAL INSURANCE COMPANY EIN 22-1211670 ADMINISTRATION | Claims processing Service code 12 | — | $6K |
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 | 279 | 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) | 279 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL OF MISSOURI | 646 | $189K |
| Vision | ADVANTICA INSURANCE COMPANY | 624 | $34K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 279 | $168K |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 279 | $220K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 241 | $456K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 279 | $168K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 646 | — |
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.