| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | BLUECROSS BLUESHIELD OF ILLINOIS | $52K | — | $52K | 0.47% |
| DELTA DENTAL3 | 100 FIRST STREET SAN FRANCISCO, CA 94105 | DELTA DENTAL | — | $90K | $90K | 6.87% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 2100 ROSS AVENUE DALLAS, TX 75201 | DELTA DENTAL | $16K | — | $16K | 1.19% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 3280 PEACHTREE RD NE #800 ATLANTA, GA 30305 | GRANULAR INSURANCE COMPANY | $61K | — | $61K | 5.50% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $91K | $17K | $108K | 13.87% |
| VISION SERVICE PLAN3 | 3333 QUALITY DR RANCHO CORDOVA, CA 95670 | VISION SERVICE PLAN | — | $24K | $24K | 14.17% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | VISION SERVICE PLAN | $9K | — | $9K | 5.51% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | LINCOLN NATIONAL LIFE INSURANCE COMPANY | $15K | $3K | $18K | 12.19% |
| LOCKTON COMPANIES, LLC3 | PO BOX 123042 DALLAS, TX 75312 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 9.50% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: ARTHUR J GALLAGHER RISK MNGMT SVCS | 1300 S MAIN TULSA, OK 74119 | HARTFORD FIRE INSURANCE COMPANY | $344 | — | $344 | 3.50% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LINCOLN NATIONAL LIFE INSURANCE CO EIN 35-0472300 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | 100 LIBERT WAY STE 100 DOVER, NH 03820 | $0 |
| WEX HEALTH FLEX EIN 06-1593514 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | 82 HOPE MEADOW STREET SUITE 200 SIMSBURY, CT 06089 | $0 |
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 | 1,464 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 11 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 3 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,478 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF ILLINOIS | 3,095 | $11.2M |
| Dental | DELTA DENTAL | 1,318 | $1.3M |
| Vision | VISION SERVICE PLAN | 1,278 | $168K |
| Life insurance | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,464 | $780K |
| Long-term disability | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,406 | $151K |
| Stop-loss / reinsurancereinsurance | GRANULAR INSURANCE COMPANY | 1,292 | $1.1M |
| Other(2 contracts, 2 carriers) | LINCOLN NATIONAL LIFE INSURANCE COMPANY | 1,464 | $790K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 3,095 | — |
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.