BenefitsLedger
Employer health plan record · Plan year 2024 · Form 5500

Lester E Cox Medical Center

Healthcare & social assistance · Springfield, Missouri · EIN ending 7118

Updated Filing received by DOL

Lester E Cox Medical Center, a healthcare & social assistance employer in Springfield, Missouri, reported 11,120 participants in its health and welfare plan for plan year 2024. Its Form 5500 shows $627,134 in insurance premiums across 12 contracts and $1.8M in broker commissions and fees. The plan is self-funded (the employer pays claims itself). The Department of Labor received the filing on December 2, 2025, within the extension window.

Participants
11,120
+7.6% vs 2023
Premiums filed
$627,134
+15.8% vs 2023
Broker commissions + fees
$1.8M
+36.2% vs 2023
Commission rate
n/a
needs insured medical premium

Who was paid on Lester E Cox Medical Center's plan

Schedule A, Part I lists each broker or agent paid on each insurance contract and the amount. Totals below add every contract Lester E Cox Medical Center filed for 2024.

Broker or agentCommissionsFeesTotalContracts
Lockton · Kansas City, MO$599,002$182,808$781,81013
Bcinsourcing LLC · Overland Park, KS$668,772$101,188$769,9608
Locton Companies · Kansas City, MO$78,791$0$78,7911
Health Trust Purchasing Group LP · Nashille, TN$0$67,826$67,8261
Gallagher · Rolling Meadows, IL$49,268$7,547$56,8153
Selerix Systems, Inc. · Dallas, TX$0$20,923$20,9233
Barker Phillips Jackson, Inc · Springfield, MO$16,172$0$16,1722

Source: DOL Form 5500 Schedule A, Part I (broker commissions and fees), plan year 2024, as published in EBSA's 2024 "Latest" dataset. Part I names whoever the carrier paid, which can be a firm or an individual agent; both are public record. Amounts exclude pay from carriers not tied to a listed contract.

Insurance contracts and carriers

Every insurance contract reported on Schedule A: carrier, what it covers, people covered at year end, earned premium, and broker compensation.

Carrier · coverageCoveredPremiumBroker payRate
Vision Service Planvision3,738$627,134$12,8542.0%
Life Insurance Company of North Americacoverage not coded9,323—$30,502—
Cigna Health & Life Insurance Companycoverage not coded5,321—$42,221—
Metropolitan Life Insurance Companyvision5,592—$56,815—
Life Insurance Company of North Americalong-term disability9,112—$256,100—
Hartford Life and Accidentindemnity6,787—$889,886—
Hartford Life and Accidentcoverage not coded299—$3,318—
Life Insurance Company of North Americashort-term disability · amount flagged as implausible, excluded5,328———
Life Insurance Company of North Americalife9,323—$282,762—
Life Insurance Company of North Americalong-term disability232—$96,239—
Cigna Health and Life Insurance Companycoverage not coded4,395—$70,569—
Cigna Health & Life Insurance Companycoverage not coded1,687—$51,031—

Source: DOL Form 5500 Schedule A, plan year 2024. Self-funded medical coverage has no premium; amounts shown for it are stop-loss or administrative contracts.

How Lester E Cox Medical Center compares

Medians across employers for plan year 2024, the most recent complete year. Commission rates use fully insured medical contracts only; dollar medians use every employer that disclosed broker pay.

Broker commissions + fees, dollars
Lester E Cox Medical Center
$1.8M
Commission rate, % of medical premium

Not computable: no insured medical premium on the filing.

Source: BenefitsLedger benchmarks from 58,547 employer health plans with 100 or more participants, plan year 2024. Methodology.

Year over year

$541,766$627,134Premiums$1.3M$1.8MBroker pay20232024
Lester E Cox Medical Center: premiums and broker commissions + fees, 2023 vs 2024
20232024Change
Participants10,33711,120+7.6%
Premiums filed$541,766$627,134+15.8%
Broker commissions + fees$1,315,510$1,792,297+36.2%
Commission rate———

Source: DOL Form 5500 filings for plan years 2023 and 2024.

Filings and timeliness

Plans this employer filed under its EIN with a health benefit code. Large plans are due seven months after the plan year ends, or two and a half months later with an extension; amended filings carry the amendment date, so no timing is asserted for them.

PlanPlan year endReceived by DOLTimingParticipants
Lester E Cox Medical Center Welfare Benefit Group Insurance Plan#504 · insurance, general assetsApril 30, 2025December 2, 2025within extension11,120

Source: DOL Form 5500 Part I and signature dates; "late" means received after the extended deadline (the 15th day of the tenth month after plan year end). What a late Form 5500 costs.

How much did Lester E Cox Medical Center pay in health insurance broker commissions in 2024?

Lester E Cox Medical Center's 2024 Form 5500 reports $1,792,297 in broker commissions and fees across 12 insurance contracts ($1,412,005 in commissions, $380,292 in fees), with Lockton receiving the largest share.

Is Lester E Cox Medical Center's health plan self-funded or fully insured?

The 2024 filing indicates the plan is self-funded (the employer pays claims itself).

How does Lester E Cox Medical Center's broker compensation compare with similar employers?

A commission-to-premium ratio cannot be computed for Lester E Cox Medical Center because the filing does not report medical premium on Schedule A (usual for self-funded plans). In dollars, employers with 5,000+ participants that disclosed broker pay reported a median of $458,262.

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Record built October 24, 2026 from U.S. Department of Labor, EBSA Form 5500 datasets (2025, 2024, 2023 plan years, 'Latest' files). Filings can run 7 to 10 months behind the plan year; always confirm against current plan documents. BenefitsLedger is not affiliated with the U.S. Department of Labor. Open the DOL filing search.