| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 752012739 | METROPOLITAN LIFE INSURANCE COMPANY | $48K | $90K | $138K | 2.28% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | SUN LIFE ASSURANCE COMPANY OF CANADA | $36K | — | $36K | 0.91% |
| LOCKTON COMPANIES, LLC3 | 4275 EXECUTIVE SQ., SUITE 600 LAJOLLA, CA 92037 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $34K | $34K | 0.85% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 752012739 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $8K | $15K | $23K | 1.54% |
| LOCKTON COMPANIES, LLC3 | DEPT 3042, P.O.BOX 123042 DALLAS, TX 753123042 | EYEMED VISION CARE | $25K | — | $25K | 3.31% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 752012739 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $754 | — | $754 | 0.48% |
| LOCKTON COMPANIES, LLC3 | DEPT 3042, P.O.BOX 123042 DALLAS, TX 753123042 | EYEMED VISION CARE | $2K | — | $2K | 4.00% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 752012739 | CIGNA LIFE INSURANCE CO. OF NEW YORK | $143 | — | $143 | 0.81% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD EIN 36-1236610 CONTRACT ADMINISTRATOR | Claims processing; Insurance services; Contract Administrator Service code 12 | — | $5.4M |
| LOCKTON COMPANIES, LLC NONE | Insurance brokerage commissions and fees; Other insurance fees and expenses; Consulting (general); Insurance agents and brokers Service code 16 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 752012739 | $57K |
| ALERE WELLBEING EIN 20-0231080 SERVICE PROVIDER | Other fees Service code 99 | — | $38K |
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 | 13,798 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 84 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 315 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 3 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 14,200 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 20,407 | $6.1M |
| Vision(2 contracts) | EYEMED VISION CARE | 14,648 | $796K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 14,050 | $4.0M |
| Short-term disability(2 contracts, 2 carriers) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 353 | $175K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 6,537 | $1.5M |
| Other(3 contracts, 3 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 14,050 | $4.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 20,407 | — |
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."
No prospect flags tripped on this filing.