| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 800 GESSNER ROAD SUITE 300 HOUSTON, TX 77024 | DEARBORN LIFE INSURANCE COMPANY | $35K | $8K | $43K | 6.74% |
| LOCKTON COMPANIES, LLC3 | PO BOX 675382 DALLAS, TX 75267 | DEARBORN LIFE INSURANCE COMPANY | $17K | $0 | $17K | 2.61% |
| LOCKTON COMPANIES, LLC4 | 5847 SAN FELIPE STREET SUITE 320 HOUSTON, TX 77057 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $2K | — | $2K | 17.00% |
| MOORE SUCCESS, INC.4 | 56 LAKEVIEW DRIVE DURANT, OK 74701 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $89 | — | $89 | 0.75% |
| COMPLIANCE SOLUTIONS LLC4 Filed as: COMPLIANCE SOLUTIONS, LLC | 521 NORTH CHURCH STREET ELIZABETHVILLE, PA 17023 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $89 | $0 | $89 | 0.75% |
| DAVE HALL INC4 Filed as: DAVE HALL, INC. | 9748 NORTH CANTERBURY PARK CIRCLE HIGHLAND, UT 84003 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $30 | $0 | $30 | 0.25% |
| CAROL PURDY FIELDS4 Filed as: CAROL CLINTON SMITH MARITAL TRUST | 3317 WAUWINET WAY NORMAN, OK 73071 | PRE-PAID LEGAL SERVICES INC DBA LEGALSHIELD | $30 | $0 | $30 | 0.25% |
No Schedule C service providers reported on this filing.
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 | 0 | 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) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL INSURANCE COMPANY | 933 | $315K |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 665 | $633K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 665 | $633K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 665 | $633K |
| Other(4 contracts, 4 carriers) | DEARBORN LIFE INSURANCE COMPANY | 756 | $690K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 933 | — |
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.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.