| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRIGHTLINE DEALER ADVISORS, LLC3 Filed as: BRIGHTLINE DEALER ADVISORS | 15301 DALLAS PARKWAY ADDISON, TX 75001 | GRAVIE, INC. | $45K | — | $45K | 3.82% |
| BRIGHTLINE DEALER ADVISORS, LLC3 | 15301 DALLAS PARKWAY ADDISON, TX 75001 | DENTA DENTAL OF ILLINOIS | $3K | — | $3K | 6.41% |
| THE BOON INSURANCE AGENCY3 Filed as: BOON INSURANCE AGENCY, INC. | — | DENTA DENTAL OF ILLINOIS | — | $2K | $2K | 4.08% |
| ACRISURE LLC3 Filed as: ACRISURE LLC DBA TASK INS. | — | DENTA DENTAL OF ILLINOIS | $556 | — | $556 | 1.24% |
| BRIGHTLINE DEALER ADVISORS, LLC3 Filed as: BRIGHTLINE DEALER ADVISORS LLC | 15301 DALLAS PARKWAY A ADDISON, TX 75001 | DELTA DENTAL OF MISSOURI | $2K | — | $2K | 7.88% |
| CARILLON BENEFIT SERVICES, LLC3 Filed as: CARILLON BENEFIT SERVICE LLC | 641 CEPI DRIVE CHESTERFIELD, MO 63005 | DELTA DENTAL OF MISSOURI | $699 | — | $699 | 2.73% |
| BRIGHTLINE DEALER ADVISORS, LLC3 | 15301 DALLAS PARKWAY SUITE 500 ADDISON, TX 75001 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 9.43% |
| JOSEPH T SNYDER3 Filed as: JOSEPH T. SNYDER & ASSOCIATES | 1021 75TH STREET DARIEN, IL 60561 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $116 | — | $116 | 0.56% |
| CARILLON BENEFIT SERVICES, LLC3 Filed as: CARILLON BENEFIT SERVICE, LLC | 641 CAPI DRIVE CHESTERFIELD, MO 63005 | STANDARD INSURANCE COMPANY | $1K | — | $1K | 9.64% |
| DARIN POTTS3 | 100 DETERING AVENUE APT 2128 HOUSTON, TX 77007 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $980 | $1K | $2K | 22.47% |
| BRIGHTLINE DEALER ADVISORS, LLC3 | 15301 DALLAS PARKWAY ADDISON, TX 75001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $328 | $2K | 21.67% |
| ERIKA BROUSSARD3 | 431 SILVER CREEK CIRCLE RICHMOND, TX 77406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $966 | $1K | $2K | 20.23% |
| DEBRA KAY GAPP3 | 20302 STONE FALLS CT CYPRESS, TX 77433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $571 | $149 | $720 | 6.92% |
| BOWLES INSURANCE SERVICES LLC3 | 12816 S WINDING PINES DRIVE TOMBALL, TX 77375 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $419 | $257 | $676 | 6.50% |
| ERENDIRA CARDENAS RIOS3 | 4101 NASA PARKWAY APT 217 EL LAGO, TX 77586 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $390 | — | $390 | 3.75% |
| RICHARD SCHWAGER3 | 2210 VILLAGE DALE AVENUE HOUSTON, TX 77059 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $259 | $50 | $309 | 2.97% |
| DONNA V WERNER3 Filed as: DONNA V. WERNER | 417 DES PLAINES AVE UNIT 684 FOREST PARK, IL 60130 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $235 | — | $235 | 2.26% |
| CORCORAN & HOYT LLC3 | 3905 TAMPA ROAD UNIT 2367 OLDSMAR, FL 34677 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | $10 | $28 | 0.27% |
| BRIGHTLINE DEALER ADVISORS, LLC3 Filed as: BRIGHTLINE DEALER ADVISORS LLC | 15301 DALLAS PARKWAY SUITE 400 ADDISON, TX 75001 | ADVANTICA INSURANCE COMPANY | $282 | — | $282 | 6.78% |
| CARILLON BENEFIT SERVICES, LLC3 Filed as: CARILLON BENEFIT SERVICE | 641 CEPI DRIVE CHESTERFIELD, MO 63005 | ADVANTICA INSURANCE COMPANY | $102 | — | $102 | 2.45% |
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 | 189 | 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) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | GRAVIE, INC. | 189 | $1.2M |
| Dental(2 contracts, 2 carriers) | DENTA DENTAL OF ILLINOIS | 102 | $70K |
| Vision | ADVANTICA INSURANCE COMPANY | 82 | $4K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 138 | $33K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 138 | $21K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 138 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 189 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.