| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CL SCOTT CORPORATE INSURANCE SVCS3 Filed as: C.L. SCOTT CORPORATE INSURANCE SVC. | 3699 N. CAOUTAK OF TEXAS HWY B SUITE 1 AUSTIN, TX 78746 | HEALTH CARE SERVICE CORPORATION | $4K | — | $4K | 0.54% |
| CL SCOTT CORPORATE INSURANCE SVCS3 Filed as: CL SCOTT CORPORATION INSURANCE | 3699 N. CAOUTAK OF TEXAS HWY B SUITE 1 AUSTIN, TX 78746 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $19K | $7K | $27K | 16.94% |
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 | 0 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 203 | $819K |
| Dental | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 107 | $157K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 107 | $157K |
| Life insurance | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 107 | $157K |
| Short-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 107 | $157K |
| Long-term disability | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 107 | $157K |
| Prescription drug | HEALTH CARE SERVICE CORPORATION | 203 | $819K |
| Other | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 107 | $157K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 203 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.
Final-filing indicator set. Plan is winding down; don't waste sales effort here.