| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COHN JR, MILTON H3 | 5090 N 40TH ST, STE 180 PHOENIX, AZ 85018 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $83K | $6K | $89K | 5.91% |
| LONGMONT GROUP INC DBA THE PADON CO3 Filed as: LONGMONT GROUP INC DBA THE PAD | 5321 LONGMONT DR HOUSTON, TX 77056 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $68K | $5K | $73K | 4.84% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON DUNNING BENEFITS | DEPT 3042, PO BOX 123042 DALLAS, TX 753123042 | METLIFE | $24K | — | $24K | 6.00% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: REUBEN WARNER ASSOCIATES | 1655 RICHMOND AVE. STATEN ISLAND, NJ 10314 | FEDERAL AMERICAN INSURANCE COMPANY | $11K | — | $11K | 20.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 2100 ROSS AVENUE DALLAS, TX 75201 | FEDERAL AMERICAN INSURANCE COMPANY | $8K | — | $8K | 15.00% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: REUBEN WARNER ASSOCIATES, INC | 1655 RICHMOND AVE. STATEN ISLAND, NY 10314 | FEDERAL AMERICAN INSURANCE COMPANY | $10K | — | $10K | 20.00% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 2100 ROSS AVENUE DALLAS, TX 75201 | FEDERAL AMERICAN INSURANCE COMPANY | $7K | — | $7K | 15.00% |
| AON CONSULTING INC3 Filed as: AON RISK SERVICES CENTRAL, INC. | 200 E. RANDOLPH, 9TH FLOOR CHICAGO, IL 60601 | FEDERAL AMERICAN INSURANCE COMPANY | $0 | — | $0 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| AETNA BEHAVIORAL HEALTH, LLC PLAN ADMINISTRATOR | Plan Administrator Service code 14 | 151 FARMINGTON AVENUE. RSAA HARTFORD, CT 06156 | $78K |
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 CONTRACT ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | — | $52K |
| UNUM LIFE INSURANCE CO OF AMERICA EIN 01-0278678 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $6K |
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 | 1,197 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 81 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,278 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | METLIFE | 29 | $405K |
| Dental | METLIFE | 29 | $405K |
| Vision | VISION SERVICE PLAN INSURANCE CO | 918 | $153K |
| Life insurance(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,346 | $1.6M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,346 | $1.5M |
| Other(2 contracts, 2 carriers) | HEALTH AND HUMAN RESOURCE CENTER | 1,197 | $497 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,346 | — |
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.