| 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 | $41K | $1K | $42K | 3.58% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS, INC. | 818 TOWN AND COUNTRY BOULEVARD SUITE 500 HOUSTON, TX 770244549 | METROPOLITAN LIFE INSURANCE COMPANY | $20K | $20 | $20K | 12.58% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS, INC. | 2211 7TH AVENUE SOUTH BIRMINGHAM, AL 352332310 | METROPOLITAN LIFE INSURANCE COMPANY | — | $4K | $4K | 2.68% |
| RODGER LINCOLN WELLS3 | 415 W. WALL STREET SUITE 1818 MIDLAND, TX 79701 | AFLAC | $4K | $388 | $5K | 5.67% |
| NANCY B PENA3 Filed as: NANCY B. PENA | 1535 CAMELLIA LN NEW BRAUNFELS, TX 78130 | AFLAC | $2K | $259 | $2K | 2.50% |
| AMANDA MCCANN POTTER3 | 911 N. MIDKIFF ROAD MIDLAND, TX 79701 | AFLAC | $2K | $161 | $2K | 2.08% |
| BENNETT G COOK IV3 Filed as: BENNETT G. COOK IV | 310 FRANKFORD AVENUE APT. 108 LUBBOCK, TX 79416 | AFLAC | $1K | $184 | $2K | 2.03% |
| STEVEN VALLES3 | 413 EAST DORMARD AVENUE MIDLAND, TX 79705 | AFLAC | $764 | — | $764 | 0.93% |
| MERRIL GREG AKINS3 | 3610 HUMBLE AVENUE MIDLAND, TX 79707 | AFLAC | $382 | — | $382 | 0.46% |
| YANET PADILLA GALVAN3 | 2200 S COLORADO ST MONAHANS, TX 79756 | AFLAC | $205 | $123 | $328 | 0.40% |
| PATRICIA LYNN WIDNER3 | 4925 RUSTIC TRAIL MIDLAND, TX 79707 | AFLAC | $175 | — | $175 | 0.21% |
| ARDELIA M GOFF3 Filed as: ARDELIA M. GOFF | 12311 COLBY CIRCLE TYLER, TX 75707 | AFLAC | $148 | — | $148 | 0.18% |
| DAVID W. KUHLMANN3 | 4620 CONLEY AVENUE ODESSA, TX 79762 | AFLAC | $142 | — | $142 | 0.17% |
| SCOTT G GOFF3 | 12311 COLBY CIR TYLER, TX 75707 | AFLAC | $134 | — | $134 | 0.16% |
| BRITTANY NICOLE SCOTT3 | 7412 GRAVENSTEEN ODESSA, TX 79765 | AFLAC | $95 | — | $95 | 0.12% |
| ROSS L WELLS3 Filed as: ROSS L. WELLS | 415 W. WALL STREET SUITE 1818 MIDLAND, TX 79701 | AFLAC | $88 | — | $88 | 0.11% |
| STEVE WHITTEN3 | 7606 UNIVERSITY AVENUE SUITE D LUBBOCK, TX 79423 | AFLAC | $85 | — | $85 | 0.10% |
| KATY ANN ROWOLDT3 | 10605 E COUNTY ROAD 104 MIDLAND, TX 79706 | AFLAC | $57 | — | $57 | 0.07% |
| MEGAN CHAPMAN3 | 415 W WALL ST, STE 1818 MIDLAND, TX 79701 | AFLAC | $32 | $13 | $45 | 0.05% |
| TRACY LYNN MANGOLD3 | 1488 SLEEPY HOLLOW LANE NEW BRAUNFELS, TX 79130 | AFLAC | $45 | — | $45 | 0.05% |
| SYLVIA CUELLAR3 | 3100 W. MICHIGAN AVENUE MIDLAND, TX 79701 | AFLAC | $38 | — | $38 | 0.05% |
| STEVE WHITTEN3 | 7606 UNIVERISTY AVE STE F LUBBOCK, TX 79423 | AFLAC | $32 | — | $32 | 0.04% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT L CLARK | 5601 COUNTY ROAD 1450 LUBBOCK, TX 79407 | AFLAC | $28 | — | $28 | 0.03% |
| ALLEN MOORMAN AGENCY INC3 Filed as: ALLEN MOORMAN AGENCY INC. | 1621 RIGGED TRAIL MIDLOTHIAN, TX 76065 | AFLAC | $27 | — | $27 | 0.03% |
| CECIL RAY PARKER3 | 1102 FM 378 LORENZO, TX 79343 | AFLAC | $27 | — | $27 | 0.03% |
| PETER B WILKINSON JR3 | 1408 LANCELOT AVENUE WOLFFORTH, TX 79382 | AFLAC | $13 | — | $13 | 0.02% |
| STEVEN B KEMPTON3 | 4912 DERBYSHIRE DR MCKINNEY, TX 75070 | AFLAC | $10 | — | $10 | 0.01% |
| ROBERT PERRY EVANS JR3 Filed as: ROBERT P. EVANS JR. INC. | 14422 COUNTY ROAD X MCLEAN, TX 79057 | AFLAC | $6 | — | $6 | 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 | 114 | 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) | 114 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 273 | $1.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 451 | $162K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 451 | $162K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 451 | $162K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 451 | $162K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 451 | $162K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 451 | $244K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 451 | — |
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.