| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JACK ROBBINS3 | 4925 GREENVILLE AVE SUITE 680 DALLAS, TX 75206 | LINCOLN NATIONAL LIFE | — | $14K | $14K | 20.00% |
| JACK ROBBINS3 | 4925 GREENVILLE AVE SUITE 680 DALLAS, TX 75206 | LINCOLN NATIONAL LIFE | — | $7K | $7K | 20.00% |
| JACK ROBBINS3 | 4925 GREENVILLE AVE SUITE 680 DALLAS, TX 75206 | LINCOLN NATIONAL LIFE | — | $7K | $7K | 20.00% |
| JACK ROBBINS3 | 4925 GREENVILLE AVE STE 680 DALLAS, TX 75206 | LINCOLN NATIONAL LIFE | — | $4K | $4K | 20.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| LINCOLN NATIONAL LIFE EIN 35-0472300 INSURANCE CO | Claims processing Service code 12 | 8801 INDIAN HILLS DRIVE OMAHA, NE 68114 | $159K |
| JACK ROBBINS BROKER | Other commissions Service code 55 | 4925 GREENSVILLE AVE SUITE680 DALLAS, TX 75206 | $32K |
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 | 91 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 91 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | LINCOLN NATIONAL LIFE | 58 | $68K |
| Life insurance(2 contracts) | LINCOLN NATIONAL LIFE | 99 | $55K |
| Long-term disability | LINCOLN NATIONAL LIFE | 80 | $36K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 99 | — |
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.