| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLSPRING INSURANCE AGENCY INC3 | — | BLUE CROSS BLUE SHIELD OF TEXAS | $26K | — | $26K | 3.17% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCEAGENCY, INC | 124 OLD TOWN BOULEVARD NORTH ARGYLE, TX 76226 | DEARBORN LIFE INSURANCE COMPANY | $9K | $6K | $15K | 20.18% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY | 124 OLD TOWN BOULEVARD NORTH SUITE 100 ARGYLE, TX 76226 | METROPOLITAN LIFE INSURANCE COMPANY | $7K | $2K | $9K | 12.92% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY, INC. | 124 OLD TOWN BOULEVARD NORTH #100 ARGYLE, TX 76226 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $2K | — | $2K | 10.20% |
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 | 118 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 196 | $811K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 278 | $69K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 130 | $17K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 102 | $73K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 102 | $73K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 102 | $73K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 102 | $73K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 278 | — |
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.