| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $32K | $32K | 1.94% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | HCC LIFE INSURANCE COMPANY | $58K | — | $58K | 5.00% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | HCC LIFE INSURANCE COMPANY | — | $55K | $55K | 4.75% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | — | $18K | $18K | 1.92% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HORIZON HEALTHCARE SERVICES, INC. EIN 22-0999690 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $786K |
| LIBERTY LIFE ASSURANCE CO OF BOSTON EIN 04-6076039 LMLS ADMINISTRATOR | Contract Administrator Service code 13 | — | $111K |
| RXBENEFITS, INC. EIN 63-1157085 PRESCRIPTION DRUG ADMIN | Claims processing; Contract Administrator Service code 12 | — | $22K |
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 | 1,707 | 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) | 1,707 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 68 | $456K |
| Dental | AETNA LIFE INSURANCE CO. | 319 | $73K |
| Vision | VISION SERVICE PLAN | 1,520 | $424K |
| Life insurance | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 2,484 | $1.6M |
| Long-term disability | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 1,837 | $910K |
| Stop-loss / reinsurancereinsurance | HCC LIFE INSURANCE COMPANY | 1,707 | $1.2M |
| Other(2 contracts, 2 carriers) | LINCOLN LIFE ASSURANCE COMPANY OF BOSTON | 2,484 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,484 | — |
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.