| 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 | 3.04% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 2.32% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 400 MIDLAND DRIVE, SUITE 300 MOUNT LAUREL, NJ 08054 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $583 | — | $583 | 0.16% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $250 | $250 | 0.07% |
| DWIGHT L PIERCE3 Filed as: DWIGHT L. PIERCE | 1200 EAST TAFT STREET SAPULPA, OK 74066 | KANAWHA INSURANCE COMPANY | $30K | $167 | $30K | 16.73% |
| AMCORP3 Filed as: AMCORP INS. AND FINANCIAL SERVICES | 3519 PAESANOS PARKWAY, SUITE 106 SAN ANTONIO, TX 78231 | KANAWHA INSURANCE COMPANY | $2K | $35 | $2K | 0.98% |
| LINUS L. BAER3 | 3519 PAESANOS PARKWAY, SUITE 106 SAN ANTONIO, TX 78231 | KANAWHA INSURANCE COMPANY | $185 | — | $185 | 0.10% |
| ANDREW D KOWN3 Filed as: ANDREW KWON | PO BOX 40542 CINCINNATI, OH 45240 | KANAWHA INSURANCE COMPANY | $137 | — | $137 | 0.08% |
| ANN ELISE REYES3 Filed as: ANN E. REYES | 4219 CREEK LEDGE AUSTIN, TX 78731 | KANAWHA INSURANCE COMPANY | $45 | — | $45 | 0.02% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | KANAWHA INSURANCE COMPANY | $4 | — | $4 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 604 NW LOOP 410, SUITE 325 SAN ANTONIO, TX 78216 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 2.30% |
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 | 680 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 680 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 1,085 | $83K |
| Life insurance(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 680 | $554K |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 680 | $373K |
| Other(2 contracts, 2 carriers) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 680 | $554K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,085 | — |
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.