| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS OF TX | 818 TOWN AND COUNTRY LANE SUITE 500 HOUSTON, TX 77024 | BLUECROSS BLUESHIELD OF TEXAS | $44K | — | $44K | 3.46% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS | 818 TOWN AND COUNTRY BOULEVARD SUITE 500 HOUSTON, TX 770244549 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | $259 | $10K | 11.24% |
| RODGER LINCOLN WELLS3 | 415 W. WALL STREET SUITE 1818 MIDLAND, TX 79701 | AFLAC | $5K | $2 | $5K | 6.43% |
| AMANDA MCCANN POTTER3 | 911 N. MIDKIFF ROAD MIDLAND, TX 79701 | AFLAC | $2K | $1 | $2K | 2.18% |
| BENNETT G COOK IV3 Filed as: BENNETT G. COOK IV | 3812 32ND STREET LUBBOCK, TX 79410 | AFLAC | $1K | $1 | $1K | 1.96% |
| NANCY B PENA3 Filed as: NANCY B. PENA | 1535 CAMELLIA LN NEW BRAUNFELS, TX 78130 | AFLAC | $917 | — | $917 | 1.22% |
| ELVIA L GOMEZ3 | 2905 SAVOY PL MIDLAND, TX 79705 | AFLAC | $833 | — | $833 | 1.11% |
| HECTOR Z HERNANDEZ3 | 11033 W 26TH ST ODESSA, TX 79763 | AFLAC | $750 | $29 | $779 | 1.04% |
| PATRICIA LYNN WIDNER3 | 4925 RUSTIC TRAIL MIDLAND, TX 79707 | AFLAC | $727 | $1 | $728 | 0.97% |
| MERRIL GREG AKINS3 | 3610 HUMBLE AVENUE MIDLAND, TX 79707 | AFLAC | $577 | — | $577 | 0.77% |
| DAVID W. KUHLMANN3 | 4620 CONLEY AVENUE ODESSA, TX 79762 | AFLAC | $337 | — | $337 | 0.45% |
| BRITTANY NICOLE SCOTT3 | 7412 GRAVENSTEEN ODESSA, TX 79765 | AFLAC | $314 | — | $314 | 0.42% |
| MEGAN CHAPMAN3 | 415 W WALL ST STE 1818 MIDLAND, TX 79701 | AFLAC | $207 | — | $207 | 0.28% |
| ARDELIA M GOFF3 Filed as: ARDELIA M. GOFF | 1125 JUDSON ROAD SUITE 195 LONGVIEW, TX 75601 | AFLAC | $171 | — | $171 | 0.23% |
| STEVE WHITTEN3 | 7606 UNIVERSITY AVENUE SUITE D LUBBOCK, TX 79423 | AFLAC | $133 | — | $133 | 0.18% |
| ROSS L WELLS3 Filed as: ROSS L. WELLS | 415 W. WALL STREET SUITE 1818 MIDLAND, TX 79701 | AFLAC | $126 | — | $126 | 0.17% |
| SCOTT G GOFF3 | 12311 COLBY CIR TYLER, TX 75701 | AFLAC | $83 | — | $83 | 0.11% |
| SCOTT G GOFF3 Filed as: SCOTT G. GOFF | 712 S. CHILTON AVENUE TYLER, TX 75701 | AFLAC | $75 | — | $75 | 0.10% |
| STEVE WHITTEN3 | 7606 UNIVERISTY AVE STE F LUBBOCK, TX 79423 | AFLAC | $41 | — | $41 | 0.05% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT L. CLARK | 7606 UNIVERSITY AVE STE F LUBBOCK, TX 79423 | AFLAC | $31 | — | $31 | 0.04% |
| CECIL RAY PARKER3 | 1102 FM 378 LORENZO, TX 79343 | AFLAC | $30 | — | $30 | 0.04% |
| SYLVIA CUELLAR3 | 3100 W. MICHIGAN AVENUE MIDLAND, TX 79701 | AFLAC | $25 | — | $25 | 0.03% |
| KATY ANN ROWOLDT3 | 10605 E. COUNTY ROAD 104 MIDLAND, TX 79706 | AFLAC | $17 | — | $17 | 0.02% |
| PETER B WILKINSON JR3 Filed as: PETER B. WILKINSON JR. | 6202 IOLA AVE. STE 115 LUBBOCK, TX 79424 | AFLAC | $13 | — | $13 | 0.02% |
| STEVEN B KEMPTON3 Filed as: STEVEN B. KEMPTON | 2570 ELDORADO PARKWAY SUITE 130 MCKINNEY, TX 75070 | AFLAC | $7 | — | $7 | 0.01% |
| ROBERT PERRY EVANS JR3 Filed as: ROBERT P. EVANS JR. INC. | 1031 SADDLEBROOK DRIVE LUCAS, TX 75002 | AFLAC | $4 | — | $4 | 0.01% |
| MICHELLE L. GRIGGS3 | 415 W. WALL STREET SUITE 1818 MIDLAND, TX 79701 | AFLAC | $3 | — | $3 | 0.00% |
| BOBBY R STEWART3 Filed as: BOBBY R. STEWART | 3501 FRENCH PARK DRIVE SUITE E EDMOND, OK 73034 | AFLAC | $3 | — | $3 | 0.00% |
| ROXY DODD GARTON3 | 14149 W. RUIDOSO DRIVE ODESSA, TX 79763 | AFLAC | $2 | — | $2 | 0.00% |
| RUTHERFORD FINANCIAL SERVICES INC.3 Filed as: MCGRIFFF, SEIBELS & WILLIAMS OF TX | 818 TOWN AND COUNTRY LANE SUITE 500 HOUSTON, TX 770242241 | UNION SECURITY INSURANCE COMPANY | $7K | — | $7K | 11.54% |
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 | 108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 108 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 278 | $1.3M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 443 | $93K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 443 | $93K |
| Life insurance | UNION SECURITY INSURANCE COMPANY | 106 | $60K |
| Short-term disability | UNION SECURITY INSURANCE COMPANY | 106 | $60K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 106 | $60K |
| Other(2 contracts, 2 carriers) | AFLAC | 106 | $135K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 443 | — |
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.