| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM - FORT WORTH, INC. | 1600 WEST 7TH STREET SUITE 300 FORT WORTH, TX 761022506 | UNITED HEALTH CARE INSURANCE COMPANY | $37K | $1K | $38K | 4.65% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM - FORT WORTH, INC. | 1600 WEST 7TH STREET FORT WORTH, TX 76102 | ACE USA GROUP | $3K | — | $3K | 8.78% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM - FORT WORTH, INC. | 1600 WEST 7TH STREET FORT WORTH, TX 76102 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM - FORT WORTH, INC. | 1600 WEST 7TH STREET FORT WORTH, TX 76102 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| CAROLYN ANN MCLAUGHLIN3 | 639 E TRIPP RD SUNNVALE, TX 75182 | AFLAC | $1K | — | $1K | 6.58% |
| ANN K GRAVSETH3 | 4528 CEDARBRUSH DRIVE DALLAS, TX 75229 | AFLAC | $511 | — | $511 | 3.10% |
| ADAM SHANE HUNDLEY3 | 813 CORNELL LN ALLEN, TX 75002 | AFLAC | $436 | — | $436 | 2.64% |
| GAY M HUNDLEY3 | 620 TAYLOR TRAIL MURPHY, TX 75094 | AFLAC | $253 | — | $253 | 1.53% |
| ROY G SHELDON3 | 6298 WILLOWGATE DALLAS, TX 75230 | AFLAC | $207 | — | $207 | 1.26% |
| JAMES A VANDIVER3 | 4516 LOUISVILLE DR PLANO, TX 75093 | AFLAC | $115 | — | $115 | 0.70% |
| JOHN DEE MAULDIN3 | 3209 PHAETON COURT PLANO, TX 75023 | AFLAC | $78 | — | $78 | 0.47% |
| SUZANNE LEWIS3 | 7116 RIPLEY ST MCKINNEY, TX 75071 | AFLAC | $77 | — | $77 | 0.47% |
| ROBERT PERRY EVANS JR3 | 1031 SADDLEBROOK DRIVE LUCAS, TX 75002 | AFLAC | $39 | — | $39 | 0.24% |
| DAVID J KASKA3 | 1862 DENVER WEST COURT #224 LAKEWOOD, CO 80401 | AFLAC | $26 | — | $26 | 0.16% |
| SCOTT WEBB3 | 2155 W PINNACLE PEAK ROAD SUITE 205 PHOENIX, AZ 85027 | AFLAC | $24 | — | $24 | 0.15% |
| VELMA E KASKA3 | 7803 EPPING LANE AUSTIN, TX 78745 | AFLAC | $15 | — | $15 | 0.09% |
| ANDERSON C THOMPSON3 | 4001 TRENT PINES DRIVE NEW BERN, NC 28562 | AFLAC | $13 | — | $13 | 0.08% |
| FRANKLIN R DAVIES3 | 201 ROYAL ABERDEEN WAY MCKINNEY, TX 75070 | AFLAC | $9 | — | $9 | 0.05% |
| GARY C KLEIN3 | 5924 BALFOUR CT STE 100 CARLSBAD, CA 92008 | AFLAC | $9 | — | $9 | 0.05% |
| HARVEY EDWARD MCCREARY JR3 | 273 BELLWOOD DR GARLAND, TX 75040 | AFLAC | $5 | — | $5 | 0.03% |
| BARBARA ANN MCNAUGHTON3 | 10000 N 31ST AVE STE C107 PHOENIX, AZ 85051 | AFLAC | $4 | — | $4 | 0.02% |
| T ALLEN HOWDESHELL3 Filed as: ALLEN V HUNDLEY | 620 TAYLOR TRL MURPHY, TX 75094 | AFLAC | $1 | — | $1 | 0.01% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM- FORT WORTH, INC. | 1600 WEST 7TH STREET FORT WORTH, TX 76102 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $462 | — | $462 | 15.00% |
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 | 112 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 115 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTH CARE INSURANCE COMPANY | 138 | $821K |
| Dental | ACE USA GROUP | 101 | $30K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 112 | $3K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 112 | $28K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 112 | $18K |
| Other(2 contracts, 2 carriers) | AFLAC | 112 | $20K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 138 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.