| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| 19 21 CONSULTANTS CO., LLC3 Filed as: 1921 CONSULTANTS CO LLC | 568 S BUSINESS IH 35 NEW BRAUNFELS, TX 78130 | BLUECROSS BLUESHIELD OF TEXAS | $11K | — | $11K | 2.01% |
| ORIGIN INSURANCE AGENCY LLC3 Filed as: ORIGIN INSURANCE AGENCY, LLC | 600 ROUND ROCK WEST STE 502 ROUND ROCK, TX 78681 | BLUECROSS BLUESHIELD OF TEXAS | $7K | — | $7K | 1.19% |
| ORIGIN INSURANCE AGENCY LLC3 | PO BOX 2092 PFLUGERVILLE, TX 78691 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | $344 | $10K | 11.72% |
| MANUEL FUENTES3 | 63 MARIPOSA PKWY W BOERNE, TX 78006 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $3K | $10K | 11.55% |
| FEDERICO BERLANGA3 | 17803 LA CANTERA TERRACE SAN ANTONIO, TX 78256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $3K | $5K | 5.19% |
| TIM COBB3 | 11086 NW COUNTY ROAD 1370 BARRY, TX 75102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $3K | $5K | 5.13% |
| ARGO EXPRESS LLC3 | 17803 LA CANTERA TER APT 11418 SAN ANTONIO, TX 78256 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $676 | $2K | 2.49% |
| OMAR MENDOZA3 | 26326 ROCKWALL PKWY NEW BRAUNFELS, TX 78132 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.51% |
| TROY J PALMER3 | 15534 CLOVER RDG SAN ANTONIO, TX 78248 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $534 | $155 | $689 | 0.77% |
| BE INSURANCE PARTNERS LLC3 | 2900 SPEEGLEVILLE RD WOODWAY, TX 76712 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $206 | — | $206 | 0.23% |
| THOMAS SNYDER3 | 10539 DEDEKE DR NEW BRAUNFELS, TX 78132 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $132 | — | $132 | 0.15% |
| KAREN WINRICH3 | 2401 WESTINGHOUSE RD APT 3102 GEORGETOWN, TX 78626 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $102 | — | $102 | 0.11% |
| KELLY MELISSA RUSHING3 | 725 RIVER BLUFF DR LYTLE, TX 78052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $43 | $33 | $76 | 0.08% |
| JUSTIN CRAIG LAWHORN3 | 1311 CHISHOLM TRAIL RD STE 403 ROUND ROCK, TX 78681 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $62 | — | $62 | 0.07% |
| BILLY MARK ROBERSON3 | 19210 BOCCA DEL MAR SAN ANTONIO, TX 78258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $44 | — | $44 | 0.05% |
| WISER BENEFITS LLC3 | 7127 AVIGNON DR ROUND ROCK, TX 78681 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $21 | — | $21 | 0.02% |
| CHRISTIAN FOURNIER3 | 700 W ST JOHNS AVENUE AUSTIN, TX 78752 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.02% |
| UZIEL RIVERA3 | 1267 SILVER TORCH DR BEAUMONT, CA 92223 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10 | — | $10 | 0.01% |
| ROBERT RUSHING3 | 223 W ANDERSON LN STE A106 AUSTIN, TX 78752 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| ORIGIN INSURANCE AGENCY LLC3 | 600 ROUND ROCK WEST STE 502 ROUND ROCK, TX 78681 | DEARBORN LIFE INSURANCE COMPANY | $769 | — | $769 | 6.18% |
| 19 21 CONSULTANTS CO., LLC3 Filed as: 1921 CONSULTANTS COLLC | 568 S BUISNESS IH 35 NEW BRAUNFELS, TX 78130 | DEARBORN LIFE INSURANCE COMPANY | $668 | — | $668 | 5.37% |
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 | 294 | 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) | 294 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 71 | $653K |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 57 | $564K |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 229 | $12K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 229 | $102K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 57 | $564K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 229 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 229 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.