| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MC AND H LIFE INS. AGENCY, INC.3 Filed as: MC & H LIFE INS AGENCY INC. | 8144 WALNUT HILL LN. 16TH FLOOR DALLAS, TX 75231 | DELTA DENTAL | $23K | — | $23K | 5.00% |
| MMA DALLAS-WALNUT HILL3 Filed as: MMA DALLAS - WALNUT HILL | 8144 WALNUT HILL LN. 16TH FLOOR DALLAS, TX 75231 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $3K | $13K | 6.36% |
| MMA DALLAS-WALNUT HILL3 | 8144 WALNUT HILL LN. 16TH FLOOR DALLAS, TX 75231 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $2K | $7K | 5.67% |
| MMA DALLAS-WALNUT HILL3 Filed as: MMA DALLAS - WALNUT HILL | 8144 WALNUT HILL LN. 16TH FLOOR DALLAS, TX 75231 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $1K | $1K | 1.64% |
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 | 1,290 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 10 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 55 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 1,355 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE INSURANCE COMPANY | 1,880 | $352K |
| Dental | DELTA DENTAL | 1,107 | $454K |
| Vision | VISION SERVICE PLAN | 937 | $101K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,167 | $191K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 538 | $209K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,167 | $62K |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE INSURANCE COMPANY | 1,880 | $352K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 745 | $129K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,880 | — |
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.