| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CENTERSTONE INSURANCE AND FINANCIAL3 | 12404 PARK CENTRAL DR DALLAS, TX 75251 | AETNA LIFE INSURANCE CO. | $19K | — | $19K | 2.07% |
| CARL A FEUERBACHER JR3 | 614 S CAPITAL OF TX HWY AUSTIN, TX 78746 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $210 | $3K | 5.36% |
| DONALD L EDDLEMAN3 | 595 ROUND ROCK WEST DR STE 205 ROUND ROCK, TX 78681 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $210 | $3K | 5.36% |
| CARL A FEUERBACHER JR3 | 614 S CAPITAL OF TX HWY AUSTIN, TX 78746 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $797 | $40 | $837 | 7.88% |
| DONALD L EDDLEMAN3 | 595 ROUND ROCK WEST DR STE 205 ROUND ROCK, TX 78681 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $797 | $40 | $837 | 7.88% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| E F G & M LP BROKER | Insurance agents and brokers Service code 22 | 614 CAPITAL OF TEXAS HIGHWAY S AUSTIN, TX 78746 | $39K |
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 | 250 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 250 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 250 | $926K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 219 | $67K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 219 | $56K |
| Other(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 219 | $67K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 250 | — |
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.