| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHERYLE CALHOUN INSURANCE Filed as: CHERYLE CALHOUN INSURANCE INC | 8 N MAIN ST FARMINGTON, MO 63640 | HEALTHY ALLIANCE LIFE INSURANCE COMPANY DENAL | $89K | — | $89K | 100.00% |
| UVETA MATTHEWS NEWCOMER3 | C/O UVETA MATTHEWS NEWCOMER POPLAR BLUFF, MO 63901 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.45% |
| MIKE KEITH Filed as: MIKE KEITH INSURANCE INC | PO BOX 388 CLINTON, MO 64735 | AMERICAN FIDELITY ASSURANCE COMPANY | $246 | — | $246 | 65.08% |
| SHAFFER, KELLY S | 910 MURPHYS WAY FARMINGTON, MO 63640 | AMERICAN FIDELITY ASSURANCE COMPANY | $89 | — | $89 | 23.54% |
| TROWBRIDGE, RUSSCHELL D | 908 MAYWOOD DR JEFFERSON CITY, MO 65109 | AMERICAN FIDELITY ASSURANCE COMPANY | $27 | — | $27 | 7.14% |
| SCHICK, CARL J | 857 SUGAR HILL DR BALLWIN, MO 63021 | AMERICAN FIDELITY ASSURANCE COMPANY | $17 | — | $17 | 4.50% |
| CHERYLE CALHOUN INSURANCE | 8 N MAIN ST FARMINGTON, MO 63640 | ANTHEM LIFE INSURANCE | $2K | — | $2K | — |
| CHERYLE CALHOUN INSURANCE | 8 N MAIN ST FARMINGTON, MO 63640 | HEALTHY ALLIANCE LIFE INSURANCE | $29K | — | $29K | — |
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 | 216 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 216 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTHY ALLIANCE LIFE INSURANCE | 0 | $0 |
| Dental | HEALTHY ALLIANCE LIFE INSURANCE COMPANY DENAL | 197 | $89K |
| Life insurance | ANTHEM LIFE INSURANCE | 0 | $0 |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 200 | $1K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 200 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.