| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRINSON BENEFITS, INC.3 Filed as: BRINSON BENEFITS | 8605 AIRPORT FREEWAY, SUITE 900 NORTH RICHLAND HILLS, TX 76180 | BLUE CROSS BLUE SHIELD OF TEXAS | $36K | $2K | $38K | 5.95% |
| BRINSON BENEFITS, INC.3 Filed as: BRINSON BENEFITS | 8605 AIRPORT FREEWAY, SUITE 900 NORTH RICHLAND HILLS, TX 76180 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $18K | $0 | $18K | 12.66% |
| BRINSON BENEFITS, INC.3 Filed as: BRINSON BENEFITS | PO BOX 674344 DALLAS, TX 75267 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| BRINSON BENEFITS, INC.3 Filed as: BRINSON BENEFITS | 4851 LBJ FREEWAY DALLAS, TX 75244 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $5 | $2K | 16.27% |
| DEBORAH L. OLSON3 | 24555 US HIGHWAY 331 SOUTH SANTA ROSA BEACH, FL 32459 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $172 | $15 | $187 | 1.56% |
| DEACON CHARLES KAVANAUGH3 | 6336 HILL CREEK DRIVE THE COLONY, TX 75056 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $94 | $0 | $94 | 0.78% |
| MPART BENEFITS INC3 Filed as: MPART BENEFITS INC. | 100 ALBRIGHT LANE PROSPER, TX 75078 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $71 | $6 | $77 | 0.64% |
| SULEIKA BLOOM3 | 152 LAKERIDGE DRIVE DALLAS, TX 75218 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $35 | $0 | $35 | 0.29% |
| KALEB OGOLINI3 | 3013 PARKSIDE DRIVE PLANO, TX 75075 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2 | $0 | $2 | 0.02% |
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 | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF TEXAS | 182 | $651K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 114 | $139K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 74 | $14K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 114 | $139K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 114 | $139K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 114 | $139K |
| Prescription drug(2 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF TEXAS | 182 | $651K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 114 | $151K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 182 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.