| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BRIGHTLINE DEALER ADVISORS, LLC3 | 153001 DALLAS PARKWAY ADDISON, TX 75001 | ANGLE INSURANCE COMPANY OF UTAH | $43K | — | $43K | 3.90% |
| BRIGHTLINE DEALER ADVISORS, LLC3 | 15301 DALLAS PARKWAY ADDISON, TX 75001 | DENTA DENTAL OF ILLINOIS | $6K | — | $6K | 7.65% |
| THE BOON INSURANCE AGENCY3 Filed as: BOON INSURANCE AGENCY, INC. | 234 SPRING LAKE DRIVE ITASCA, IL 60143 | DENTA DENTAL OF ILLINOIS | — | $3K | $3K | 4.08% |
| BRIGHTLINE DEALER ADVISORS, LLC3 | 15301 DALLAS PARKWAY SUITE 500 ADDISON, TX 75001 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | — | $2K | 9.71% |
| JOSEPH T SNYDER3 Filed as: JOSEPH T. SNYDER & ASSOCIATES | 1021 75TH STREET DARIEN, IL 60561 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10 | — | $10 | 0.05% |
| BRIGHTLINE DEALER ADVISORS, LLC3 | 15301 DALLAS PARKWAY ADDISON, TX 75001 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $701 | $0 | $701 | 8.48% |
| ERIKA BROUSSARD3 | 431 SILVER CREEK CIRCLE RICHMOND, TX 77406 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $433 | $203 | $636 | 7.69% |
| DARIN POTTS3 | 100 DETERING AVENUE APT 2128 HOUSTON, TX 77007 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $284 | $276 | $560 | 6.77% |
| BOWLES INSURANCE SERVICES LLC3 | 12816 S WINDING PINES DRIVE TOMBALL, TX 77375 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $156 | $63 | $219 | 2.65% |
| DEBRA KAY GAPP3 | 20302 STONE FALLS CT CYPRESS, TX 77433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $137 | $29 | $166 | 2.01% |
| HOWARD HOROWITZ3 Filed as: HOWARD J HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $65 | $21 | $86 | 1.04% |
| RICHARD SCHWAGER3 | 2210 VILLAGE DALE AVENUE HOUSTON, TX 77059 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $72 | $4 | $76 | 0.92% |
| ERENDIRA CARDENAS RIOS3 | 4101 NASA PARKWAY APT 217 EL LAGO, TX 77586 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $71 | — | $71 | 0.86% |
| DONNA V WERNER3 Filed as: DONNA V. WERNER | 417 DES PLAINES AVE UNIT 684 FOREST PARK, IL 60130 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $43 | — | $43 | 0.52% |
| CORCORAN & HOYT LLC3 | 3905 TAMPA ROAD UNIT 2367 OLDSMAR, FL 34677 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | $1 | $4 | 0.05% |
| BRIGHTLINE DEALER ADVISORS, LLC3 | 15301 DALLAS PARKWAY SUITE 500 ADDISON, TX 75001 | STANDARD INSURANCE COMPANY | $980 | — | $980 | 11.94% |
| CARILLON BENEFIT SERVICES, LLC3 Filed as: CARILLON BENEFIT SERVICE, LLC | 641 CAPI DRIVE CHESTERFIELD, MO 63005 | STANDARD INSURANCE COMPANY | $20 | — | $20 | 0.24% |
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 | 191 | 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) | 191 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | ANGLE INSURANCE COMPANY OF UTAH | 158 | $1.1M |
| Dental | DENTA DENTAL OF ILLINOIS | 106 | $79K |
| Vision | DENTA DENTAL OF ILLINOIS | 106 | $79K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 209 | $30K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 209 | $21K |
| Other(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 209 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 209 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.