| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | 12712 PARK CENTRAL DR., STE 100 DALLAS, TX 75251 | BLUECROSS BLUESHIELD OF TEXAS | $12K | $3K | $15K | 0.73% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | P.O. BOX 441 DES MOINES, IA 503020441 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $21K | $6K | $27K | 19.19% |
| AVANT SPECIALTY BENEFITS LLC3 | 1828 WALNUT STREET, SUITE 801 KANSAS CITY, MO 64108 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 2.04% |
| BSC AGENCY LLC3 | 1025 ASHWORTH RD, STE 101 WEST DES MOINES, IA 50265 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $3K | $3K | 2.00% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | P.O. BOX 441 DES MOINES, IA 503020441 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $13K | $2K | $15K | 16.87% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | P.O. BOX 441 DES MOINES, IA 503020441 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $7K | $1K | $8K | 11.80% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | P.O. BOX 441 DES MOINES, IA 503020441 | VISION SERVICE PLAN | $2K | — | $2K | 5.39% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES, LLC | P.O. BOX 441 DES MOINES, IA 503020441 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $5K | $1K | $6K | 19.19% |
| BSC AGENCY LLC3 | 1025 ASHWORTH RD, STE 101 WEST DES MOINES, IA 50265 | RELIANCE STANDARD LIFE INSURANCE COMPANY | — | $650 | $650 | 2.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX EIN 11-2581812 THIRD PARTY ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | — | $26K |
| WAGE WORKS EIN 94-3351864 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $12K |
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 | 268 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 270 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 702 | $2.1M |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 702 | $2.1M |
| Vision | VISION SERVICE PLAN | 238 | $45K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 306 | $142K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 179 | $65K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 306 | $87K |
| Stop-loss / reinsurancereinsurance | BCS INSURANCE COMPANY | 258 | $146K |
| Other(3 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 389 | $183K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 702 | — |
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."
No prospect flags tripped on this filing.