| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES F. TULLIS & ASSOCIATES, INC.3 Filed as: JAMES F TULLIS & ASSOC INC | 1645 SAN MARCO BOULEVARD JACKSONVILLE, FL 32207 | HEALTH OPTIONS, INC. | $19K | — | $19K | 5.00% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | HEALTH OPTIONS, INC. | $7K | — | $7K | 5.00% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $12K | $777 | $13K | 21.34% |
| DAVID W WIGGINS3 | 8900 STATE LINE ROAD, SUITE 350 LEAWOOD, KS 66206 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $538 | — | $538 | 0.90% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $19K | $4K | $23K | 41.29% |
| DAVID W WIGGINS3 | 8900 STATE LINE ROAD, SUITE 350 LEAWOOD, KS 66206 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $6K | — | $6K | 9.93% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $2K | $9K | 20.45% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $5K | $467 | $6K | 21.53% |
| DAVID W WIGGINS3 | 8900 STATE LINE ROAD, SUITE 350 LEAWOOD, KS 66206 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $338 | — | $338 | 1.26% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $4K | $283 | $5K | 21.42% |
| DAVID W WIGGINS3 | 8900 STATE LINE ROAD, SUITE 350 LEAWOOD, KS 66206 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $235 | — | $235 | 1.07% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | — | $247 | $247 | 1.52% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BENEFIT & RISK MANAGEMENT SERVICES EIN 68-0306908 MEDICAL ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $23K |
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 | 1,566 | 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) | 1,566 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts) | KAISER FOUNDATION HEALTH PLAN INC | 403 | $2.0M |
| Dental(3 contracts) | PREMIER ACCESS INSURANCE COMPANY | 526 | $340K |
| Vision | VISION SERVICE PLAN | 466 | $54K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,213 | $16K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 281 | $27K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 232 | $44K |
| Prescription drug(2 contracts) | HEALTH OPTIONS, INC. | 94 | $515K |
| Stop-loss / reinsurancereinsurance | SUN LIFE INSURANCE COMPANY | 53 | $145K |
| Other(5 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,566 | $175K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,566 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.