| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| LOCKTON COMPANIES, LLC3 | PO BOX 123042 DALLAS, TX 75312 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $192K | $62K | $254K | 4.00% |
| LOCKTON COMPANIES, LLC3 | PO BOX 843844 KANSAS CITY, MO 64184 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $107K | $14K | $121K | 1.90% |
| BCINSOURCING, LLC3 | 6363 COLLEGE BOULEVARD SUITE 500 OVERLAND PARK, KS 66211 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $107K | $12K | $118K | 1.86% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE M MCCULLUGH | 14715 NE 95TH STREET SUITE 200 REDMOND, WA 98052 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $36K | $0 | $36K | 0.56% |
| LOCKTON COMPANIES, LLC3 | PO BOX 123042 DALLAS, TX 75312 | VISION SERVICE PLAN | $82K | $0 | $82K | 10.00% |
| LOCKTON COMPANIES, LLC3 | PO BOX 123042 DALLAS, TX 75312 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $86K | $0 | $86K | 13.92% |
| LOCKTON COMPANIES, LLC3 | PO BOX 843844 KANSAS CITY, MO 64184 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $35K | $2K | $37K | 6.02% |
| BCINSOURNCING, LLC3 | 6363 COLLEGE BOULEVARD, SUITE 500 OVERLAND PARK, KS 64184 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $35K | $1K | $37K | 5.98% |
| LOCKTON COMPANIES, LLC3 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $19K | $19K | 3.11% |
| CHRISTINE M. MCCULLUGH3 Filed as: CHRISTINE MCCULLUGH | 14715 NE 95TH STREET, SUITE 200 REDMOND, WA 98052 | JOHN HANCOCK | $15K | $0 | $15K | 7.50% |
| LOCKTON COMPANIES, LLC3 | PO BOX 123103 DALLAS, TX 75312 | JOHN HANCOCK | $5K | $0 | $5K | 2.55% |
| VIDAL & RODRIGUEZ3 Filed as: VIDAL AND RODRIGUEZ | UNKNOWN SAN ANTONIO, TX 78256 | TRIPLE S SALUD, INC. | $10K | $0 | $10K | 5.00% |
| LOCKTON COMPANIES, LLC4 | 444 WEST 47TH STREET, SUITE 900 KANSAS CITY, MO 64112 | PREPAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $9K | $0 | $9K | 6.13% |
| HEALTH AND BENEFIT SYSTEMS, INC.4 Filed as: HEALTH AND BENEFIT SYSTEMS INC. | 6363 COLLEGE BOULEVARD, SUITE 500 OVERLAND PARK, KS 66211 | PREPAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $8K | $0 | $8K | 5.81% |
| MJ INSURANCE4 Filed as: CHRIS SORENSEN & VARIOUS AGENTS | 100 EAST BERKSHIRE CIRCLE LONGWOOD, FL 32779 | PREPAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $1K | $0 | $1K | 0.90% |
| AMBERLEY PARK ASSOCIATES INC.4 Filed as: AMBERLEY PRK ASSOCIATES INC. | 3605 SANDY PLAINS ROAD SUITE 240 244 MARIETTA, GA 30066 | PREPAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $1K | $0 | $1K | 0.89% |
| CHRIS T. BOAZ3 Filed as: CHRIS T BOAZ | 12103 SW 125TH AVENUE TIGARD, OR 97223 | PREPAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $265 | $0 | $265 | 0.19% |
| HIGH POINT ALLIANCE4 | 1119 EAST BIRCHBROOK CIRCLE COTTONWOOD HEIGHTS, UT 84047 | PREPAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $217 | $0 | $217 | 0.15% |
| AGAR THOMAS4 | 524 LEE STREET BURLINGTON, NC 32779 | PREPAID LEGAL SERVICES, INC. DBA LEGALSHIELD | $194 | $0 | $194 | 0.14% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | PO BOX 123103 DALLAS, TX 75312 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $1K | $58 | $1K | 10.41% |
| LOCKTON COMPANIES, LLC3 | PO BOX 843844 KANSAS CITY, MO 64184 | FIRST UNUM LIFE INSURANCE COMPANY | $25 | $0 | $25 | 2.35% |
| BCINSOURCING, LLC3 | 6363 COLLEGE BOULEVARD, SUITE 500 OVERLAND PARK, KS 66211 | FIRST UNUM LIFE INSURANCE COMPANY | $25 | $0 | $25 | 2.35% |
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 | 9,128 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 254 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 9,382 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | TRIPLE S SALUD, INC. | 36 | $190K |
| Dental | TRIPLE S SALUD, INC. | 36 | $190K |
| Vision | VISION SERVICE PLAN | 6,171 | $822K |
| Life insurance(3 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 8,806 | $7.0M |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 1,720 | $615K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 8,806 | $6.4M |
| Prescription drug | TRIPLE S SALUD, INC. | 36 | $190K |
| Other(4 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 9,128 | $6.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,128 | — |
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.