| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 4411 98TH ST STE 310 LUBBOCK, TX 79424 | HEALTH CARE SERVICE CORPORATION DBA BLUE CROSS BLUE SHIELD OF TEXAS | $28K | — | $28K | 0.94% |
| MARSH & MCLENNAN AGENCY LLC3 | 4411 98TH ST STE 200 LUBBOCK, TX 79424 | HEALTH CARE SERVICE CORPORATION DBA BLUE CROSS BLUE SHIELD OF TEXAS | $8K | — | $8K | 0.26% |
| MARSH & MCLENNAN AGENCY LLC3 | 8144 WALNUT HILL, 16TH FLOOR DALLAS, TX 75231 | DEARBORN LIFE INSURANCE COMPANY | $15K | $5K | $20K | 19.51% |
| RODGER LINCOLN WELLS3 Filed as: RODGER LINCOLN WELLS & OTHER AGENTS | 415 WEST WALL STREET, SUITE 1818 MIDLAND, TX 79701 | AFLAC | $2K | $0 | $2K | 3.85% |
| ROXY DODD GARTON3 | 10448 SAN CLEMENTE DRIVE PAINT ROCK, TX 76866 | AFLAC | $1K | $0 | $1K | 2.26% |
| LINDA DUREN ROBERT3 | 10484 SAND CLEMENTE DRIVE PAINT ROCK, TX 76866 | AFLAC | $617 | $0 | $617 | 1.23% |
| BRENDA MEACHAM3 Filed as: BRENDA L. MEACHAM | 200 EAST GARY BOULEVARD CLINTON, OK 73601 | AFLAC | $565 | $0 | $565 | 1.12% |
| DOUG MOSLEY INC3 Filed as: DOUG MOSLEY, INC. | 709 RIVERFALLS ROAD SAN ANGELO, TX 76903 | AFLAC | $533 | $0 | $533 | 1.06% |
| AMANDA MCCANN POTTER3 | PO BOX 591 COMFORT, TX 78013 | AFLAC | $389 | $0 | $389 | 0.77% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ROBIN BROWN | 5911 FOX RUN WAY OKLAHOMA CITY, OK 73142 | AFLAC | $309 | $0 | $309 | 0.62% |
| MARSH & MCLENNAN AGENCY LLC3 | 4411 98TH ST STE 200 LUBBOCK, TX 79424 | AMERITAS LIFE INSURANCE CORP | $4K | — | $4K | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 8144 WALNUT HILL LN FL 16 DALLAS, TX 75231 | AMERITAS LIFE INSURANCE CORP | — | $1K | $1K | 2.85% |
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 | 140 | 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) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION DBA BLUE CROSS BLUE SHIELD OF TEXAS | 853 | $2.9M |
| Dental | HEALTH CARE SERVICE CORPORATION DBA BLUE CROSS BLUE SHIELD OF TEXAS | 853 | $2.9M |
| Vision | AMERITAS LIFE INSURANCE CORP | 252 | $36K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 169 | $102K |
| Prescription drug | HEALTH CARE SERVICE CORPORATION DBA BLUE CROSS BLUE SHIELD OF TEXAS | 853 | $2.9M |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 169 | $152K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 853 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.