| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | METROPOLITAN LIFE INSURANCE COMPANY | — | $3K | $3K | 0.51% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | PO BOX 632886 CINCINNATI, OH 45263 | METROPOLITAN LIFE INSURANCE COMPANY | — | $19 | $19 | 0.00% |
| CBIZ BENEFITS & INSURANCE SERVICES3 | 6050 OAK TREE BLVD, STE 500 INDEPENDENCE, OH 44131 | HUMANADENTAL INSURANCE COMPANY | $227 | — | $227 | 0.24% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | HUMANADENTAL INSURANCE COMPANY | $105 | — | $105 | 0.11% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HUMANA INSURANCE COMPANY EIN 39-1263473 NONE | Contract Administrator; Direct payment from the plan Service code 13 | — | $621K |
| CBIZ BENEFITS & INSURANCE SERVICES NONE | Insurance brokerage commissions and fees; Direct payment from the plan Service code 50 | 700 WEST 47TH STREET, SUITE 1100 KANSAS CITY, MO 64112 | $80K |
| LOCKTON COMPANIES, LLC EIN 20-3354970 NONE | Direct payment from the plan; Consulting (general) Service code 16 | — | $58K |
| HUMANADENTAL INSURANCE COMPANY EIN 39-0714280 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $34K |
| HEALTHSMART BENEFIT SOLUTIONS, INC. EIN 36-4099199 NONE | Direct payment from the plan; Contract Administrator Service code 13 | — | $30K |
| ELLIOTT ROBINSON & COMPANY LLP EIN 43-1189134 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $16K |
| BKD, LLP EIN 44-0160260 NONE | Direct payment from the plan; Accounting (including auditing) Service code 10 | — | $12K |
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 | 1,786 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,797 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | HUMANADENTAL INSURANCE COMPANY | 807 | $93K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 2,701 | $588K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 2,701 | $588K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 2,701 | $588K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 1,170 | $876K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 2,701 | $588K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,701 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.