| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ARVINDKUMAR SHAH3 | 1900 KINGS ISLE DRIVE PLANO, TX 75093 | METROPOLITAN LIFE INSURANCE COMPANY | $6K | — | $6K | 8.97% |
| AUBREY MICHELE PETTY3 | P.O. BOX 853 CHICO, TX 76431 | AFLAC | $2K | $32 | $2K | 7.45% |
| SOMMER NORRIS RIEHN3 | 262 E FM 552 ROCKWALL, TN 75087 | AFLAC | $473 | $6 | $479 | 1.49% |
| CHERIE E BLOODWORTH3 Filed as: CHERIE E. BLOODWORTH | 3405 WATERVIEW TRAIL ROCKWALL, TX 75067 | AFLAC | $450 | — | $450 | 1.40% |
| BRENT LYNN SCHNEIDER3 | 4220 PIKE CT. PLANO, TX 75093 | AFLAC | $329 | — | $329 | 1.03% |
| ROBERT SHEPARD COOPER3 | P.O. BOX 609 SANGER, TX 76256 | AFLAC | $310 | $6 | $316 | 0.99% |
| KRISTY MARIE COLLINS3 | 753 CATALPA ROAD SAGINAW, TX 76131 | AFLAC | $271 | — | $271 | 0.85% |
| SEAN MICHAEL PFEIFFER3 | 3405 WATERVIEW TRAIL ROCKWALL, TX 75087 | AFLAC | $85 | — | $85 | 0.27% |
| CHRISTOPHER CHASE RIEHN3 | 262 E FM 552 ROCKWALL, TX 75087 | AFLAC | $70 | — | $70 | 0.22% |
| ROBERT PERRY EVANS JR3 Filed as: ROBERT PERRY EVANS, JR. | 1031 SADDLEBROOK DRIVE LUCAS, TX 75002 | AFLAC | $47 | — | $47 | 0.15% |
| STACI M. BURGDORF3 | 1112 SPRINGHILL DRIVE SAGINAW, TX 76179 | AFLAC | $41 | — | $41 | 0.13% |
| SCOTT WEBB3 | 2155 W. PINNACLE PEAK ROAD PHOENIX, AZ 85027 | AFLAC | $38 | — | $38 | 0.12% |
| TAMI J. MEADOWS3 | 14065 ZIPPO WAY HASLET, TX 76052 | AFLAC | $32 | — | $32 | 0.10% |
| GARY C KLEIN3 Filed as: GARY C. KLEIN | 3211 SAN SEBASTIAN DRIVE CARROLLTON, TX 75006 | AFLAC | $27 | — | $27 | 0.08% |
| BARBARA ANN MCNAUGHTON3 | 10000 N 31ST AVENUE SUITE C107 PHOENIX, AK 85051 | AFLAC | $14 | — | $14 | 0.04% |
| MANUEL C. RODRIGUEZ3 | 514 S. EDGEFIELD AVENUE DALLAS, TX 75208 | AFLAC | $8 | — | $8 | 0.02% |
| HARVEY EDWARD MCCREARY JR3 Filed as: HARVEY EDWARD MCCREARY, JR. | 273 BELLWOOD DRIVE GARLAND, TX 75040 | AFLAC | $8 | — | $8 | 0.02% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MERITAIN HEALTH EIN 16-1264154 CONTRACT ADMINISTRATOR | Contract Administrator Service code 13 | — | $144K |
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 | 97 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 98 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 195 | $68K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 195 | $68K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 195 | $68K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 195 | $68K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 195 | $100K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.