| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | HCC LIFE INSURANCE COMPANY | $27K | — | $27K | 4.99% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 0.91% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVE., SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $106 | $106 | 0.06% |
| KEVIN J DICKHERBER3 | 3500 S SCOTT BOULEVARD, SUITE 2B COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 7.27% |
| ALEXANDER I MIRO3 | 3406 KEENES EDGE COLUMBIA, MO 65201 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 2.39% |
| ASHTON CONSULTING INC3 | 3606 RIDGEVIEW DRIVE COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $985 | — | $985 | 2.25% |
| AMEEN AL AMEEN3 | 2410 TERESA CIR APT H TAMPA, FL 33629 | CONTINENTAL AMERICAN INSURANCE COMPANY | $600 | — | $600 | 1.37% |
| FRANK HIGGINS3 Filed as: FRANK L. HIGGINS | 3509 GETTYSBURG PLACE JEFFERSON CITY, MO 65109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $388 | — | $388 | 0.89% |
| THE INSURANCE GROUP3 Filed as: THE INSURANCE GROUP INC | 200 E SOUTHAMPTON DR COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $259 | — | $259 | 0.59% |
| JEFFREY M SATTERLEE3 Filed as: JEFFREY M. SATTERLEE | 6565 AMERICAS PARKWAY NE SUITE 115 ALBUQUERQUE, NM 87110 | CONTINENTAL AMERICAN INSURANCE COMPANY | $210 | — | $210 | 0.48% |
| BRADLEY K HARRISON3 | 210 PRODO DRIVE JEFFERSON CITY, MO 65109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $195 | — | $195 | 0.44% |
| AUSTIN J PETERSON3 Filed as: AUSTIN J. PETERSON | 11116 AURORA AVE URBANDALE, IA 50322 | CONTINENTAL AMERICAN INSURANCE COMPANY | $59 | — | $59 | 0.13% |
| DANNY G HUNT3 | 2101 CORONA ROAD SUITE 201 COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $29 | — | $29 | 0.07% |
| RACHELLE J MEYERS3 | 3912 N COTTONWOOD CT COLUMBIA, MO 65202 | CONTINENTAL AMERICAN INSURANCE COMPANY | $26 | — | $26 | 0.06% |
| AARON C EVERLY3 | 2101 W BROADWAY SUITE 200 COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | — | $21 | 0.05% |
| CHAD M POSTON3 | 2101 W BROADWAY SUITE 200 COLUMBIA, MO 65203 | CONTINENTAL AMERICAN INSURANCE COMPANY | $21 | — | $21 | 0.05% |
| JOHN MYERS3 Filed as: JOHN MEYERS | 16024 MANCHES TER ROAD ELLISVILLE, MO 63011 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.04% |
| JOHN A BACON3 | 1267 LEIGHTON HOLLOW DRIVE DARDENNE PRAIRIE, MO 63368 | CONTINENTAL AMERICAN INSURANCE COMPANY | $18 | — | $18 | 0.04% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $118K |
| TRIA HEALTH, LLC EIN 27-1515235 CLAIMS PROCESSING | Claims processing Service code 12 | — | $23K |
| DELTA DENTAL OF MISSOURI EIN 43-0908349 ADMINISTRATION | Claims processing Service code 12 | — | $22K |
| 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 | — | $7K |
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 | 302 | 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) | 302 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | ADVANTICA INSURANCE COMPANY | 668 | $32K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 302 | $191K |
| Long-term disability(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 302 | $235K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 265 | $541K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 302 | $191K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 668 | — |
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."
No prospect flags tripped on this filing.