| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MIKE KEITH Filed as: MIKE KEITH INSURANCE INC | PO BOX 388 CLINTON, MO 64735 | AMERICAN FIDELITY ASSURANCE COMPANY | $63 | — | $63 | — |
| CARL J. SCHICK Filed as: CARL SCHICK | 857 SUGAR HILL DR BALLWIN, MO 63021 | AMERICAN FIDELITY ASSURANCE COMPANY | $17 | — | $17 | — |
| KELLY SHAFFER Filed as: KELLY SAFFER | 910 MURPHY'S WAY FARMINGTON, MO 63640 | AMERICAN FIDELITY ASSURANCE COMPANY | $17 | — | $17 | — |
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 | 229 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 229 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | AMERICAN FIDELITY ASSURANCE COMPANY | 2 | $0 |
| Life insurance | AMERICAN FIDELITY ASSURANCE COMPANY | 2 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.