| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GABRIEL W HULSEY3 | 1500 PLEASANT VALLEY DR JEFFERSON CITY, MO 65101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $46K | $35K | $81K | 23.27% |
| BECKY HULSEY3 | 308 EAST HIGH ST SUITE 101 JEFFERSON CITY, MO 65101 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $26K | $8K | $33K | 9.60% |
| PRECISE BENEFIT SERVICE LLC3 Filed as: PRECISE BENEFIT SERVICES LLC | 501 S TOWANDA BARNES RD ST 3 BLOOMINGTON, IL 61705 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31K | $493 | $31K | 9.00% |
| CAYLA BREDBENNER3 | 1337 COMMONS CIRCLE COTTLEVILLE, MO 63304 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11K | $2K | $13K | 3.82% |
| RICHARD D SCHOOLEY3 | 563 BALLAS PARK DRIVE ST LOUIS, MO 63122 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $51 | $2K | 0.56% |
| INTENTIONAL MEDICAL SOLUTIONS3 | 1415 ALPINE PASS MINNEAPOLIS, MN 55416 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $348 | — | $348 | 0.10% |
| SOUTHPAW INC3 | 1910 IDIANWOOD CIRCLE MAUMEE, OH 43537 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.00% |
| GAIL PLUMMER3 | 4372 43RD AVENUE SOUTH FARGO, ND 58104 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.00% |
| DAVID H OSBORN3 | 3040 GRAND BAY BLVD LONGBOAT, FL 34228 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | 0.00% |
| NORTHWEST WORKSITE MARKETING CORP3 Filed as: NORTHWEST WORKSITE MARKETING GROUP | 1910 INDIANWOOD CIRCLE MAUMEE, OH 43537 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.00% |
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 | 1,680 | 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) | 1,680 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,635 | $346K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 1,635 | $346K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,635 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.