| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRITTANY NICOLE SCOTT3 | 7412 GRAVENSTEEN ODESSA, TX 79765 | AFLAC | $26K | $1K | $27K | 12.03% |
| RODGER LINCOLN WELLS3 | 415 W WALL ST STE 1818 MIDLAND, TX 79701 | AFLAC | $15K | $553 | $16K | 6.94% |
| AMANDA MCCANN POTTER3 | 911 MIDKIFF RD MIDLAND, TX 79701 | AFLAC | $7K | $372 | $7K | 3.33% |
| MEGAN CHAPMAN3 | 415 W WALL ST STE 1818 MIDLAND, TX 79701 | AFLAC | $4K | $173 | $4K | 1.71% |
| STEVEN VALLES3 | 413 E DORMARD AVE MIDLAND, TX 79705 | AFLAC | $3K | $0 | $3K | 1.47% |
| BENNET G COOK IV3 | 310 FRANKFORD AVE #108 LUBBOCK, TX 79416 | AFLAC | $3K | $47 | $3K | 1.36% |
| MARGARET Z HAYNIE3 | 88 KAWEHI PL KULA, HI 96790 | AFLAC | $933 | $107 | $1K | 0.46% |
| JANELLA RENE WALKER3 | PO BOX 257 GARDENDALE, TX 79758 | AFLAC | $484 | $0 | $484 | 0.22% |
| STEVEN VALLES3 | 3616 PINEMONT DR MIDLAND, TX 79707 | AFLAC | $353 | $0 | $353 | 0.16% |
| MATTHEW D ALLISON3 | 2100 S POLK ST AMARILLO, TX 79109 | AFLAC | $327 | $0 | $327 | 0.15% |
| RIQUESHYA MARY SCOTT3 | 3213 STOREY AVE MIDLAND, TX 79701 | AFLAC | $187 | $70 | $257 | 0.11% |
| RIQUESHYA MARY SCOTT3 | 3213 STOREY AVE MIDLAND, TX 79701 | AFLAC | $173 | $68 | $241 | 0.11% |
| MEGAN DAVIS3 | 5707 CARMEL CT MIDLAND, TX 79707 | AFLAC | $130 | $0 | $130 | 0.06% |
| BLESSED MOSLEY INC3 | 4803 PLAZA BLVD STE 702 ODESSA, TX 79762 | AFLAC | $98 | $0 | $98 | 0.04% |
| CHEYANNA LYNN SCHLOTTMAN3 | 1441 LOTUS DR GAVLESTON, TX 77554 | AFLAC | $96 | $0 | $96 | 0.04% |
| TIODOSO G MONTOYA3 | 4101 MELODY LN ODESSA, TX 79762 | AFLAC | $69 | $0 | $69 | 0.03% |
| MATTHEW D ALLISON3 | 4125 BUSINESS PARK DR AMARILLO, TX 79110 | AFLAC | $65 | $0 | $65 | 0.03% |
| HUNTER NICOLE HENSLEY3 | 4400 N HOLIDAY HILL RD #1706 MIDLAND, TX 79707 | AFLAC | $46 | $0 | $46 | 0.02% |
| ALMA C MONTOYA3 | 4101 MELODY LN ODESSA, TX 79762 | AFLAC | $37 | $0 | $37 | 0.02% |
| JENNIFER E CONNER3 | 1031 ANDREWS HWY STE 305 MIDLAND, TX 79701 | AFLAC | $28 | $0 | $28 | 0.01% |
| CORIANNE DOUGLAS3 | 1603 E 37TH ST ODESSA, TX 79762 | AFLAC | $21 | $0 | $21 | 0.01% |
| BOBBY R STEWART3 | 3501 FRENCH PARK DR STE E EDMOND, OK 73034 | AFLAC | $20 | $0 | $20 | 0.01% |
| ESMERALDA ZARAGOSA3 | 5005 ANETTA DR MIDLAND, TX 79703 | AFLAC | $13 | $0 | $13 | 0.01% |
| ANTHONY D POTTER3 | 911 N MIDKIFF RD MIDLAND, TX 79701 | AFLAC | $10 | $0 | $10 | 0.00% |
| STEVE WHITTEN3 | 7606 UNIVERISTY AVE STE D LUBBOCK, TX 79423 | AFLAC | $7 | $0 | $7 | 0.00% |
| STEVE WHITTEN3 | 7606 UNIVERSITY AVE STE F LUBBOCK, TX 79423 | AFLAC | $6 | $0 | $6 | 0.00% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT L CLARK | 5601 COUNTY RD 1450 LUBBOCK, TX 79407 | AFLAC | $4 | $0 | $4 | 0.00% |
| CECIL RAY PARKER3 | 1102 FM 378 LORENZO, TX 79343 | AFLAC | $2 | $0 | $2 | 0.00% |
| PETER B WILKINSON JR3 | 1408 LANCELOT AVE WOLFFORTH, TX 79382 | AFLAC | $2 | $0 | $2 | 0.00% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | $0 | $3K | 4.30% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | SUN LIFE ASSURANCE COMPANY OF CANADA | $391 | $0 | $391 | 11.81% |
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 | 216 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 218 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 218 | $78K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 213 | $3K |
| Other(2 contracts, 2 carriers) | AFLAC | 213 | $227K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.