| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLSPRING INSURANCE AGENCY INC3 | 124 OLD TOWN BOULEVARD NORTH ARGYLE, TX 76226 | BLUECROSS BLUESHIELD OF TEXAS | $78K | $7K | $86K | 2.82% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 421 WEST THIRD STREET SUITE 800 FORT WORTH, TX 76102 | BLUECROSS BLUESHIELD OF TEXAS | $55K | — | $55K | 1.81% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC D/B/A W | 3221 COLLINSWORTH STREET FORT WORTH, TX 76107 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $45 | $11K | 4.99% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY | 124 OLD TOWN BOULEVARD NORTH SUITE 100 ARGYLE, TX 76226 | METROPOLITAN LIFE INSURANCE COMPANY | $10K | — | $10K | 4.30% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL INSURANCE SERVICE | 3221 COLLINSWORTH STREET FORT WORTH, TX 76107 | METROPOLITAN LIFE INSURANCE COMPANY | — | $2K | $2K | 0.81% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY, INC | 124 OLD TOWN BOULEVARD NORTH ARGYLE, TX 76226 | DEARBORN LIFE INSURANCE COMPANY | $17K | — | $17K | 9.55% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS INC FT WORT | 421 WEST THIRD STREET SUITE 800 FORT WORTH, TX 76102 | DEARBORN LIFE INSURANCE COMPANY | $10K | — | $10K | 5.25% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY, INC. | 124 OLD TOWN BOULEVARD NORTH #100 ARGYLE, TX 76226 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 4.24% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS - DALLAS, T | PO BOX 1770 EL PASO, TX 79949 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 4.18% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS - DALLAS, T | 3221 COLLINSWORTH STREET FORT WORTH, TX 76107 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $472 | — | $472 | 1.61% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY, INC. - | 124 OLD TOWN BOULEVARD NORTH #100 ARGYLE, TX 76226 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $253 | — | $253 | 0.86% |
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 | 293 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 293 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 522 | $3.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 727 | $223K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 404 | $29K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 358 | $183K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 358 | $183K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 358 | $183K |
| Other | DEARBORN LIFE INSURANCE COMPANY | 358 | $183K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 727 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.