| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON SPECIALTIES, LLC | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $7K | $7K | 1.24% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF CALIFORNIA, INC. | PO BOX 101162 PASADENA, CA 91189 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $7K | $7K | 1.16% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF OHIO, INC. | 775 YARD STREET, SUITE 200 COLUMBUS, OH 43212 | CONTINENTAL AMERICAN INSURANCE COMPANY | $6K | $0 | $6K | 8.67% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | CONTINENTAL AMERICAN INSURANCE COMPANY | $5K | $0 | $5K | 7.30% |
| BENEFITSTORE INC3 Filed as: BENEFITSTORE, LLC | 100 BENEFITFOCUS WAY CHARLESTON, SC 29492 | CONTINENTAL AMERICAN INSURANCE COMPANY | $442 | $0 | $442 | 0.62% |
| THE C & S GROUP INC3 Filed as: THE C & S GROUP, INC. | 2301 BURLINGTON STREET NORTH KANSAS CITY, MO 64116 | CONTINENTAL AMERICAN INSURANCE COMPANY | -$27 | $0 | -$27 | -0.04% |
| MERCER HEALTH AND BENEFITS, LLC3 | PO BOX 850502 MINNEAPOLIS, MN 55485 | CONTINENTAL AMERICAN INSURANCE COMPANY | -$43 | $0 | -$43 | -0.06% |
| MJ INSURANCE3 Filed as: TOM A. SIMPSON AND VARIOUS AGENTS | 6209 SOUTH 24TH STREET SAINT JOSEPH, MO 64504 | CONTINENTAL AMERICAN INSURANCE COMPANY | -$99 | $0 | -$99 | -0.14% |
| THE REVOLUTION LLC3 Filed as: REVOLUTION, LLC | 25 COURT LANE SAINT JOSEPH, MO 64506 | CONTINENTAL AMERICAN INSURANCE COMPANY | -$103 | $0 | -$103 | -0.14% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 6.21% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF KANSAS, INC. | 5700 WEST 112TH STREET OVERLAND PARK, KS 66211 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 5.22% |
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 | 519 | 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) | 519 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 482 | $69K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 519 | $584K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 519 | $584K |
| Other(5 contracts, 5 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 798 | $745K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 798 | — |
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.