| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 Filed as: INSURICA CA INSURANCE SERVICES INC. | 8500 STOCKDALE HWY, STE 200 BAKERSFIELD, CA 93311 | CALIFORNIA PHYSICIANS' SERVICE | $0 | $40K | $40K | 4.18% |
| INSURICA, INC.3 Filed as: MICHAEL BAKONYI, INSURICA | 9600 GREAT HILLS TRL, STE 225W AUSTIN, TX 78759 | DELTA DENTAL OF SOUTH DAKOTA | $1K | $0 | $1K | 1.56% |
| INSURICA, INC.3 Filed as: INSURICA TX INS SVCS INC | 4802 KINSEY DR TYLER, TX 75703 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DR, STE 1800 GREENSBORO, NC 274099047 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $386 | $386 | 2.22% |
| INSURICA, INC.3 Filed as: INSURICA TX INS SVCS INC | 4802 KINSEY DR TYLER, TX 75703 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DR, STE 1800 GREENSBORO, NC 274099047 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $401 | $401 | 2.52% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC | 9600 GREAT HILLS TRL STE 225W AUSTIN, TX 78759 | VISION SERVICE PLAN | $891 | $0 | $891 | 6.39% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC. | 4802 KINSEY DR TYLER, TX 75703 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| MCGRIFF INSURANCE SERVICES INC3 | 7701 AIRPORT CENTER DR, STE 1800 GREENSBORO, NC 274099047 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $0 | $286 | $286 | 2.38% |
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 | 247 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 5 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 252 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CALIFORNIA PHYSICIANS' SERVICE | 309 | $948K |
| Dental | DELTA DENTAL OF SOUTH DAKOTA | 334 | $83K |
| Vision | VISION SERVICE PLAN | 158 | $14K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 248 | $28K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 246 | $17K |
| Prescription drug | CALIFORNIA PHYSICIANS' SERVICE | 309 | $948K |
| Other(3 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 248 | $45K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 334 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.