| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SUSAN B BULLA3 Filed as: SUSAN D BULLA BENEFITREE | 4700 BRYANT IRVIN COURT FORT WORTH, TX 76107 | AETNA LIFE INSURANCE COMPANY | $48K | — | $48K | 0.37% |
| HAYS COMPANIES, INC.3 Filed as: HAYS GROUP LLC | PO BOX 1414 MINNEAPOLIS, MN 55480 | AETNA LIFE INSURANCE COMPANY | $22K | — | $22K | 0.43% |
| SUSAN B BULLA3 Filed as: SUSAN B BULLA BENEFITREE | 4700 BRYANT IRVIN COURT FORT WORTH, TX 76107 | AETNA LIFE INSURANCE COMPANY | $7K | — | $7K | 0.14% |
| SUSAN B BULLA3 | 4700 BRYANT IRVIN COURT SUITE 304 FORT WORTH, TX 76107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $41K | — | $41K | 10.17% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 5850 GRANITE PARKWAY SUITE 350 PLANO, TX 75024 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $20K | — | $20K | 4.92% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP LLC | 80 S 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $7K | $7K | 1.64% |
| STEVEN RAY GRIFFIN3 | 2000 MORRIS AVENUE BIRMINGHAM, AL 35203 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $33K | $4K | $36K | 12.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: SUSAN BROWN BULLA | 4700 BRYANT IRVIN COURT SUITE 304 FORT WORTH, TX 76107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 4.64% |
| STEVEN RAY GRIFFIN3 | 2000 MORRIS AVENUE SUITE 1400 BIRMINGHAM, AL 35203 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $30K | $3K | $33K | 12.90% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: SUSAN BROWN BULLA | 4700 BRYANT IRVIN COURT SUITE 304 FORT WORTH, TX 76107 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $13K | — | $13K | 5.07% |
| SUSAN B BULLA3 | 4700 BRYANT IRVIN COURT SUITE 304 FORT WORTH, TX 76107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $22K | — | $22K | 10.46% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 5850 GRANITE PARKWAY SUITE 350 PLANO, TX 75024 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 4.43% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP INC | 80 S 8TH STREET SUITE 700 MINNEAPOLIS, MA 55402 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $3K | $3K | 1.48% |
| SUSAN B BULLA3 | 4700 BRYANT IRVIN COURT SUITE 304 FORTH WORTH, TX 76107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $18K | — | $18K | 11.10% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 5850 GRANITE PARKWAY SUITE 350 PLANO, TX 75024 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 4.04% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP LLC | 80 S 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $2K | $2K | 1.35% |
| SUSAN B BULLA3 | 4700 BRYANT IRVIN COURT SUITE 304 FORTH WORTH, TX 76107 | EYEMED | $8K | — | $8K | 6.83% |
| HAYS COMPANIES, INC.3 Filed as: HAYS COMPANIES OF TEXAS | 5850 GRANITE PARKWAY SUITE 350 PLANO, TX 75024 | EYEMED | $2K | — | $2K | 1.81% |
| SUSAN B BULLA3 | 4700 BRYANT IRVIN COURT SUITE 304 FORT WORTH, TX 76107 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $9K | — | $9K | 9.64% |
| HAYS COMPANIES, INC.3 Filed as: THE HAYS GROUP INC | 5850 GRANITE PARKWAY SUITE 350 PLANO, TX 75024 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 4.01% |
| HAYS COMPANIES, INC.3 Filed as: HAYS BENEFITS GROUP LLC | 80 S 8TH STREET SUITE 700 MINNEAPOLIS, MN 55402 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 1.34% |
| SUSAN B BULLA3 Filed as: SUSAN BULLA | 4700 BRYANT IRVIN COURT SUITE 304 FORTH WORTH, TX 76107 | MVP HEALTHCARE | $477 | — | $477 | 4.67% |
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 | 1,438 | 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) | 1,443 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | AETNA LIFE INSURANCE COMPANY | 2,548 | $17.8M |
| Dental(2 contracts) | AETNA LIFE INSURANCE COMPANY | 2,548 | $17.8M |
| Vision | EYEMED | 2,241 | $112K |
| Life insurance(4 contracts, 2 carriers) | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 1,223 | $718K |
| Short-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 383 | $493K |
| Long-term disability(3 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 812 | $711K |
| Other(4 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,223 | $765K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,548 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.