| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON INSURANCE BROKERS, LLC | 2100 ROSS AVE STE 1200 DALLAS, TX 75201 | HARTFORD LIFE AND ACCIDENT | $54K | — | $54K | 8.07% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON INSURANCE BROKERS, LLC | P.O. BOX 843844 KANSAS CITY, MO 641843844 | HARTFORD LIFE AND ACCIDENT | — | $13K | $13K | 1.97% |
| LARRY G HOLDER3 | 508 SCHWEPPE ST BOERNE, TX 78006 | HARTFORD LIFE AND ACCIDENT | $54 | — | $54 | 0.01% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON INSURANCE BROKERS, LLC | 2100 ROSS AVE STE 1200 DALLAS, TX 75201 | HARTFORD LIFE AND ACCIDENT | $61K | — | $61K | 9.23% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON INSURANCE BROKERS, LLC | P.O. BOX 843844 KANSAS CITY, MO 641843844 | HARTFORD LIFE AND ACCIDENT | — | $5K | $5K | 0.82% |
| BENEFIT COMMUNICATION INSOURCING3 | 9300 W 110TH ST OVERLAND PARK, KS 66210 | RELIASTAR LIFE INSURANCE COMPANY | $24K | — | $24K | 7.11% |
| LOCKTON COMPANIES, LLC3 | 3 CITYPLACE DR STE 900 SAINT LOUIS, MO 63141 | RELIASTAR LIFE INSURANCE COMPANY | $24K | — | $24K | 7.11% |
| BENEFIT COMMUNICATION INSOURCING3 | 9300 W 110TH ST OVERLAND PARK, KS 66210 | RELIASTAR LIFE INSURANCE COMPANY | — | $19K | $19K | 5.44% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123042 DALLAS, TX 75312 | VISION SERVICE PLAN | $19K | — | $19K | 9.66% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON INSURANCE BROKERS, LLC | 2100 ROSS AVE STE 1200 DALLAS, TX 75201 | HARTFORD LIFE AND ACCIDENT | $22K | — | $22K | 13.14% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON INSURANCE BROKERS, LLC | P.O. BOX 843844 KANSAS CITY, MO 641843844 | HARTFORD LIFE AND ACCIDENT | — | $3K | $3K | 2.03% |
| LARRY G HOLDER3 | 508 SCHWEPPE ST BOERNE, TX 78006 | HARTFORD LIFE AND ACCIDENT | -$2 | — | -$2 | -0.00% |
| NATIONAL BENEFITS PARTNERS LLC3 | 181 EAST 5600 SOUTH SUITE 240 SALT LAKE CITY, UT 84107 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $25 | — | $25 | 2.19% |
| STEVEN RAY GRIFFIN3 Filed as: STEVEN GRIFFIN | 2000 MORRIS AVE STE 1400 BIRMINGHAM, AL 35203 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.44% |
| NATIONAL BENEFITS PARTNER LLC3 Filed as: NATIONAL BENEFITS PARTNER INSURANCE | 1441 W UTE BLVD STE 260 PARK CITY, UT 84098 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2 | — | $2 | 0.18% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| WEBTPA EMPLOYER SERVICES INC EIN 75-2611444 ADMINISTRATOR | Claims processing Service code 12 | — | $618K |
| AETNA SIGNATURE ADMINISTRATORS EIN 06-6033492 NONE | Employee (plan) Service code 30 | — | $115K |
| AETNA BEHAVIORAL HEALTH EMPLOYEE AS EIN 20-0446713 ADMINISTRATOR | Plan Administrator Service code 14 | — | $39K |
| DIVERSIFIED BENEFIT SERVICES INC EIN 39-1695622 ADMINISTRATOR | Claims processing Service code 12 | — | $20K |
| WAGE WORKS, INC EIN 94-3351864 | Claims processing Service code 12 | — | $17K |
| HEQ EIN 52-2383166 NONE | Claims processing Service code 12 | — | $13K |
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 | 2,421 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 50 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 2,471 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,734 | $195K |
| Life insurance(4 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 973 | $1.5M |
| Long-term disability(3 contracts) | HARTFORD LIFE AND ACCIDENT | 973 | $1.5M |
| Other(4 contracts, 2 carriers) | HARTFORD LIFE AND ACCIDENT | 2,440 | $1.8M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,440 | — |
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.