| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMCORP3 Filed as: AMCORP INS. AND FINANCIAL SERVICES | 3519 PAESANOS PARKWAY, SUITE 106 SAN ANTONIO, TX 78231 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $11K | — | $11K | 4.96% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 3.79% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $148 | $148 | 0.06% |
| DWIGHT L PIERCE3 Filed as: DWIGHT PIERCE - REG ONE | 1200 EAST TAFT STREET SAPULPA, OK 74066 | KANAWHA INSURANCE COMPANY | $19K | — | $19K | 17.89% |
| AMCORP3 Filed as: AMCORP INS. AND FINANCIAL SERVICES | 3519 PAESANOS PARKWAY, SUITE 106 SAN ANTONIO, TX 78231 | KANAWHA INSURANCE COMPANY | $1K | $23 | $1K | 1.07% |
| PIERCE DWIGHT - BSG3 | 8833 PERIMETER PARK BOULEVARD JACKSONVILLE, FL 32216 | KANAWHA INSURANCE COMPANY | $386 | — | $386 | 0.36% |
| ANDREW D KOWN3 Filed as: ANDREW KWON | PO BOX 40542 CINCINNATI, OH 45240 | KANAWHA INSURANCE COMPANY | $137 | — | $137 | 0.13% |
| ANN ELISE REYES3 Filed as: ANN E. REYES | 4219 CREEK LEDGE AUSTIN, TX 78731 | KANAWHA INSURANCE COMPANY | $8 | — | $8 | 0.01% |
| AMCORP3 Filed as: AMCORP INS. AND FINANCIAL SERVICES | 3519 PAESANOS PARKWAY, SUITE 106 SAN ANTONIO, TX 78231 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 6.71% |
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 | 595 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 601 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,189 | $39K |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 679 | $335K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 679 | $228K |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 679 | $335K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,189 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.