No brokers reported on this filing.
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SAVE RX PRESCRIPTION PVDR | Insurance services Service code 23 | — | $9.1M |
| ZENITH AMERICAN SOLUTIONS EIN 94-1702986 ADMINISTRATOR | Copying and duplicating; Plan Administrator Service code 14 | PO BOX 819015 DALLAS, TX 75381 | $2.3M |
| BLUE CROSS BLUE SHIELD EIN 36-1236610 CLAIMS ADMIN | Claims processing; Contract Administrator Service code 12 | — | $2.1M |
| HEALTH NET OF ARIZONA HMO PREMIUMS | Insurance services Service code 23 | — | $1.2M |
| UNITED HEALTH CARE PRESCRIPTION PVDR | Insurance services Service code 23 | — | $871K |
| BAKER BOTTS, LLP ATTORNEY | Legal Service code 29 | PO BOX 301251 DALLAS, TX 753031251 | $816K |
| STOP LOSS INSURANCES SERVICES STOP LOSS INS | Insurance services Service code 23 | — | $544K |
| VISION SERVICES PLAN EYE INSURANCE | Insurance services Service code 23 | — | $325K |
| LIFESYNCH MENTAL HEALTH INS | Insurance services Service code 23 | — | $196K |
| DELTA DENTAL INSURANCE CO DENTAL INS | Insurance services Service code 23 | — | $152K |
| UBS INVEST CUSTODIAN | Custodial (securities) Service code 19 | 2155 LOUISIANA BLVD NE ALBUQUERQUE, NM 871105481 | $114K |
| THE SEGAL COMPANY EIN 94-1503999 CONSULTANT | Actuarial; Consulting (general) Service code 11 | 7900 NORTH SAM HOUSTON PWKY WEST SUITE 110 HOUSTON, TX 77064 | $85K |
| BHAL & GAYNOR INVESTMENT MGR | Investment management Service code 28 | — | $80K |
| TCW INVESTMENT MANAGEMENT INVESTMENT MGR | Investment management Service code 28 | — | $80K |
| EATON VANCE INVESTMENT MGR | Investment management Service code 28 | — | $36K |
| EDWARDS AND LEATHERS, P.C. EIN 20-8739519 AUDITOR | Accounting (including auditing) Service code 10 | PO BOX 860 BAYTOWN, TX 77522 | $35K |
| ALLIANZ GLOBAL INVESTORS INVESTMENT MGR | Investment management Service code 28 | — | $34K |
| UNIPLAN INVESTMENT COUNSEL INVESTMENT MGR | Investment management Service code 28 | — | $23K |
| HWV INVESTMENT MANAGEMENT INVESTMENT MGR | Investment management Service code 28 | — | $21K |
| CINCINNATI ASSET MANAGEMENT INVESTMENT MGR | Investment management Service code 28 | — | $12K |
| MATTHEWS, STEIN, SHIELS, PIERCE, KN EIN 75-1913145 ATTORNEY | Legal Service code 29 | 8131 LBJ SUITE 700 DALLAS, TX 75251 | $10K |
| EXCALIBUR EXPEDITERS, INC. DELIVERY SERVICES | Other services Service code 49 | — | $9K |
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. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | HEALTH NET | 6,000 | $1.2M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 13,445 | $2.7M |
| Vision | VISION SERVICE PLAN | 5,282 | $367K |
| Prescription drug(2 contracts, 2 carriers) | SAVE RX | 0 | $9.1M |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 0 | $0 |
| Other(2 contracts, 2 carriers) | HUMANA BEHAVIORAL HEALTH | 5,900 | $196K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 13,445 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Filing reports zero broker compensation on a plan over 100 participants. Likely direct-write or unreported — worth a knock.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.