| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBC BENEFITS LTD3 | 3221 COLLINSWORTH ST FORT WORTH, TX 76107 | STANDARD INSURANCE COMPANY | $13K | $0 | $13K | 11.79% |
| NFP INSURANCE SERVICES INC3 | 1250 CAPITAL OF TX HWY BLDG 2, SUITE 125 AUSTIN, TX 78746 | STANDARD INSURANCE COMPANY | $1K | $0 | $1K | 1.05% |
| GBC BENEFITS LTD3 | 2409 FOREST PARK BLVD 2ND FLOOR FT WORTH, TX 76110 | AFLAC | $2K | $0 | $2K | 8.82% |
| DAVID R FISHER3 | 3221 COLLINSWORTH STREET FORT WORTH, TX 76107 | AFLAC | $1K | $159 | $1K | 6.99% |
| KATHY M RAWLS3 | PO BOX 161734 FORTH WORTH, TX 76161 | AFLAC | $246 | $474 | $720 | 3.81% |
| MARY L WILLIAMS3 | 1102 STEVENS ST STE 1 BRIDGEPORT, TX 76426 | AFLAC | $65 | $95 | $160 | 0.85% |
| DONNA D LASKOSKIE3 | 4515 WILDWOOD CIR GRANBURY, TX 76049 | AFLAC | $59 | $95 | $154 | 0.82% |
| ROBERT SHEPARD COOPER3 | PO BOX 609 SANGER, TX 76266 | AFLAC | $121 | $32 | $153 | 0.81% |
| DEREK P SMITH3 | 11609 MARION RD SANGER, TX 76266 | AFLAC | $105 | $32 | $137 | 0.73% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY INC | 500 W 13TH ST STE 200 FT WORTH, TX 76102 | AFLAC | $30 | $0 | $30 | 0.16% |
| THEODORE F CARTHEL3 | 615 COMANCHE DR LUBBOCK, TX 79404 | AFLAC | $17 | $0 | $17 | 0.09% |
| DENNIS M. ESARTE3 Filed as: DENNIS MICHAEL ESCARTE | 1300 N CUSTER RD APT 4107 ALLEN, TX 75013 | AFLAC | $8 | $0 | $8 | 0.04% |
| JOHN M JOHNSON3 | 2150 W NORTHWEST HWY STE 114 GRAPEVINE, TX 76051 | AFLAC | $5 | $0 | $5 | 0.03% |
| VERNON P HERRERA3 | PO BOX 310 SANTA FE, NM 87504 | AFLAC | $5 | $0 | $5 | 0.03% |
| MARCO JOE KLIMEK3 | 3301 AIRPORT FWY STE 324 BEDFORD, TX 76021 | AFLAC | $3 | $0 | $3 | 0.02% |
| VERNON P HERRERA3 | PO BOX 310 SANTA FE, NM 87504 | AFLAC | $3 | $0 | $3 | 0.02% |
| DARRIN GLENN SPRADLEY3 | 15255 MAJORCA ST DALLAS, TX 75248 | AFLAC | $3 | $0 | $3 | 0.02% |
| CECIL RAY PARKER3 | 1102 FM 378 LORENZO, TX 79343 | AFLAC | $2 | $0 | $2 | 0.01% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT L CLARK | 7606 UNIVERSITY AVE STE F LUBBOCK, TX 79423 | AFLAC | $2 | $0 | $2 | 0.01% |
| GARY WAYNE WILLINGHAM3 | 8116 STATE ROAD 66 ZOLFO SPRINGS, FL 33890 | AFLAC | $2 | $0 | $2 | 0.01% |
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 | 142 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 144 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 175 | $356K |
| Dental | STANDARD INSURANCE COMPANY | 160 | $114K |
| Vision | STANDARD INSURANCE COMPANY | 160 | $114K |
| Life insurance | STANDARD INSURANCE COMPANY | 160 | $114K |
| Long-term disability | STANDARD INSURANCE COMPANY | 160 | $114K |
| Other(2 contracts, 2 carriers) | STANDARD INSURANCE COMPANY | 160 | $132K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 175 | — |
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.