| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AON CONSULTING INC3 Filed as: AON CONSULTING - HOUSTON | 29840 NETWORK PLACE CHICAGO, IL 606731298 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $12K | $12K | 1.25% |
| MICHAEL J COVAULT4 | 522 EMORY PEAK DR. RICHMOND, TX 77469 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $1K | — | $1K | 10.13% |
| SANDRA BOYETT4 | PO BOX 605 DICKINSON, TX 77539 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $87 | — | $87 | 0.73% |
| MARK E SULLIVAN4 Filed as: MARK E. SULLIVAN | 9211 FOREST CREEK DR. TOMBALL, TX 77375 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $87 | — | $87 | 0.73% |
| GREGORY A BARONE4 | 130 CLEAR WATER ST. W MONTGOMERY, TX 77356 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $51 | — | $51 | 0.43% |
| RONALD L GOTTLIEB4 | 8840 SNOWY OWL LOOP MISSOURI CITY, TX 77459 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $33 | — | $33 | 0.28% |
| DAVID R JEZIERSKI4 | 23726 AYSCOUGH LN. KATY, TX 77493 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $26 | — | $26 | 0.22% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE 21ST FL. ITASCA, IL 60143 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $54 | — | $54 | 1.07% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: MERCER HEALTH & BENEFITS - HOUSTON | 4565 PAYSPHERE CIRCLE CHICAGO, IL 60674 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.32% |
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 | 2,558 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 33 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 2,591 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | VISION SERVICE PLAN | 1,859 | $503K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 3,522 | $1.3M |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 10 | $5K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,557 | $921K |
| Other(6 contracts, 5 carriers) | SPRING HEALTH | 5,918 | $637K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 5,918 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.