| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 | 16000 DALLAS PARKWAY, SUITE 850 DALLAS, TX 75248 | BLUE SHIELD BLUE CROSS OF TEXAS | $27K | $8K | $35K | 3.27% |
| IMA, INC.3 | 6200 LBJ FREEWAY, SUITE 200 DALLAS, TX 75240 | BLUE SHIELD BLUE CROSS OF TEXAS | $31K | $0 | $31K | 2.95% |
| CLARIBEN INSURANCE AGENCY3 Filed as: CLARIBEN INSURANCE AGENCY, LLC | 7322 SOUTHWEST FREEWAY, SUITE 1777 HOUSTON, TX 77074 | CONTINENTAL AMERICAN LIFE INSURANCE COMPANY | $9K | $0 | $9K | 9.44% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | CONTINENTAL AMERICAN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 3.07% |
| ALKEME INSURANCE SERVICES INC3 Filed as: ALKEME INSURANCE SERVICES, INC. | 7322 SW FREEWAY HOUSTON, TX 77074 | CONTINENTAL AMERICAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 2.24% |
| IMA, INC.3 | 8200 EAST 32ND STREET NORTH WICHITA, KS 67226 | CONTINENTAL AMERICAN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.97% |
| IMA, INC.3 | 6200 LBJ FREEWAY, SUITE 200 DALLAS, TX 75240 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $0 | $8K | 8.81% |
| ALLIANT INSURANCE SERVICES, INC.3 | 16000 DALLAS PARKWAY, SUITE 850 DALLAS, TX 75248 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 5.37% |
| IMA, INC.3 | 8200 EAST 32ND STREET NORTH WICHITA, KS 67226 | UNITED CONCORDIA INSURANCE COMPANY | $4K | $2K | $5K | 7.67% |
| ALLIANT INSURANCE SERVICES, INC.3 | 701 B STREET, 6TH FLOOR SAN DIEGO, CA 92101 | UNITED CONCORDIA INSURANCE COMPANY | $3K | $0 | $3K | 4.52% |
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 | 155 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE SHIELD BLUE CROSS OF TEXAS | 192 | $1.1M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 208 | $70K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 283 | $93K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 283 | $93K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 283 | $93K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 283 | $93K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN LIFE INSURANCE COMPANY | 283 | $190K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 283 | — |
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.