| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: JMB INSURANCE AGENCY INC | 900 N MICHIGAN AVE 15TH FLOOR CHICAGO, IL 60611 | BLUE CROSS BLUE SHIELD OF ILLINOIS | $103K | $2K | $105K | 3.06% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 318 E CARRUTH LANE DOUBLE OAK, TX 75077 | HARTFORD LIFE AND ACCIDENT | $34K | $101K | $135K | 4.02% |
| PAUL FLOTKEN3 | 526 CONWAY VILLAGE ST LOUIS, MO 63141 | HARVARD PILGRIM HEALTH CARE | $33K | $5K | $38K | 1.76% |
| PAUL FLOTKEN3 | 526 CONWAY VILLAGE SAINT LOUIS, MO 63141 | HARVARD PILGRIM HEALTH CARE | $26K | $4K | $30K | 2.61% |
| PAUL FLOTKEN3 | 526 CONWAY VILLAGE SAINT LOUIS, MO 63141 | HARVARD PILGRIM HEALTH CARE | $22K | $3K | $25K | 2.53% |
| PAUL FLOTKEN3 | 526 CONWAY VILLAGE SAINT LOUIS, MO 63141 | HARVARD PILGRAM HEALTH CARE | $12K | $2K | $14K | 1.76% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 3 CITYPLACE DRIVE SUITE 900 SAINT LOUIS, MO 631417088 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $174K | $1K | $175K | 40.01% |
| TEMPO HOLDINGS COMPANY LLC3 | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $65K | $65K | 14.91% |
| PAUL FLOTKEN3 | 526 CONWAY VILLAGE ST LOUIS, MO 63141 | HARVARD PILGRIM HEALTH CARE | $4K | $441 | $5K | 1.66% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 3 CITYPLACE DRIVE SUITE 900 SAINT LOUIS, MO 631417088 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $130K | $1K | $131K | 47.68% |
| TEMPO HOLDINGS COMPANY LLC3 | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $49K | $49K | 17.70% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES | 3 CITYPLACE DRIVE SUITE 900 SAINT LOUIS, MO 631417088 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $103K | $860 | $104K | 44.34% |
| TEMPO HOLDINGS COMPANY LLC3 | 4 OVERLOOK POINT LINCOLNSHIRE, IL 60069 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $39K | $39K | 16.49% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 318 E CARRUTH LANE DOUBLE OAK, TX 75077 | HARTFORD LIFE AND ACCIDENT | $2K | $6K | $9K | 3.86% |
| PAUL FLOTKEN3 Filed as: PAUL E FLOTKEN | 526 CONWAY VILLAGE SAINT LOUIS, MO 63141 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $6K | $2K | $8K | 4.04% |
| ACRISURE LLC3 Filed as: ACRISURE OF CALIFORNIA LLC | 318 E CARRUTH LANE DOUBLE OAK, TX 75077 | HARTFORD LIFE AND ACCIDENT | -$184 | $185 | $1 | 0.00% |
| PAUL FLOTKEN3 | 526 CONWAY VILLAGE SAINT LOUIS, MO 63141 | HARVARD PILGRAM HEALTH CARE | $868 | $87 | $955 | 1.66% |
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 | 3,558 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 15 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 3,573 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(14 contracts, 7 carriers) | HMSA BLUE CROSS BLUE SHIELD OF HAWAII | 4,370 | $39.1M |
| Dental(5 contracts, 3 carriers) | HMSA BLUE CROSS BLUE SHIELD OF HAWAII | 4,370 | $15.7M |
| Vision(2 contracts, 2 carriers) | UNIVERSITY HEALTH ALLIANCE | 10,961 | $6.4M |
| Life insurance | HARTFORD LIFE AND ACCIDENT | 11,436 | $3.4M |
| Long-term disability | HARTFORD LIFE AND ACCIDENT | 11,436 | $3.4M |
| Prescription drug | UNIVERSITY HEALTH ALLIANCE | 1,079 | $5.6M |
| Other(8 contracts, 5 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 44,670 | $1.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 44,670 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.