| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: BOWEN MICLETTE & BRITT INS AGENCY | 1111 N LOOP WEST STE 400 HOUSTON, TX 77008 | KAISER FOUNDATION HEALTH PLAN INC | $29K | — | $29K | 6.15% |
| CORESOURCE, INC.3 Filed as: CORESOURCE | 400 FIELD DRIVE LAKE FORREST, IL 60045 | UNIMERICA INSURANCE COMPANY | $8K | — | $8K | 1.83% |
| LOCKTON COMPANIES, LLC3 Filed as: BOWEN MICLETTE AND BRITT INSURANCE | 1111 NORTH LOOP W STE 400 HOUSTON, TX 77008 | METROPOLITAN LIFE INSURANCE COMPANY | $29K | $2K | $31K | 11.20% |
| LOCKTON COMPANIES, LLC3 Filed as: BOWEN MICLETTE & BRITT INS AGENCY | 1111 NORTH LOOP W STE 400 HOUSTON, TX 77008 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $26K | $9K | $35K | 17.36% |
| DICK CARR & ASSOCIATES INC3 | PO BOX 2747 GEORGETOWN, TX 78627 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $20K | — | $20K | 17.00% |
| DENNIS M PETERSON3 | PO BOX 1703 BOERNE, TX 78006 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $4K | $4K | 3.00% |
| LOCKTON COMPANIES, LLC3 Filed as: BOWEN MICLETTE & BRITT INS AGENCY | 1111 NORTH LOOP W STE 400 HOUSTON, TX 77008 | VISION SERVICE PLAN | $2K | — | $2K | 3.17% |
| DICK CARR & ASSOCIATES INC3 Filed as: DICK CARR & ASSOCIATES, INC. | PO BOX 2747 GEORGETOWN, TX 78627 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $15K | — | $15K | 38.07% |
| LOCKTON COMPANIES, LLC3 Filed as: BOWEN MICLETTE & BRITT INS AGENCY | 1111 N LOOP WEST SUITE 400 HOUSTON, TX 77008 | TRANSAMERICA LIFE INSURANCE COMPANY | $4K | — | $4K | 20.64% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CORESOURCE EIN 35-1846036 NONE | Plan Administrator; Other services; Claims processing Service code 12 | 400 FIELD DR LAKE FORREST, IL 60045 | $207K |
| BOWEN MICLETTE & BRITT INS AGENCY EIN 26-3860108 NONE | Consulting (general); Insurance agents and brokers Service code 16 | 1111 NORTH LOOP W STE 400 HOUSTON, TX 77008 | $115K |
| CIGNA PPO EIN 59-1031071 NONE | Other services; Claims processing Service code 12 | 900 COTTAGE GROVE ROAD BLOOMFIELD, CT 06002 | $82K |
| MULTIPLAN INC EIN 13-3068979 NONE | Other services; Claims processing; Plan Administrator Service code 12 | 1600 W BROADWAY RD # 300 TEMPE, AZ 85282 | $16K |
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 | 502 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 502 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | KAISER FOUNDATION HEALTH PLAN INC | 248 | $465K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 222 | $281K |
| Vision | VISION SERVICE PLAN | 228 | $67K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 254 | $201K |
| Short-term disability(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 128 | $158K |
| Stop-loss / reinsurancereinsurance | UNIMERICA INSURANCE COMPANY | 502 | $436K |
| Other(2 contracts, 2 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 632 | $219K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 632 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.