| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MC & H LIFE AGENCY INC3 Filed as: MC&H LIFE AGENCY INC | 8144 WALNUT HILL LANE SUITE 1600 DALLAS, TX 75231 | AETNA LIFE INSURANCE COMPANY | — | $6K | $6K | 0.49% |
| WHITE HILL PLAZA INC3 | 2255 RIDGE ROAD SUITE 333 ROCKWALL, TX 75087 | METROPOLITAN LIFE INSURANCE COMPANY | $20K | — | $20K | 6.94% |
| LOCKTON COMPANIES, LLC3 Filed as: ROACH HOWARD SMITH & BARTON INC | 8750 NORTH CENTRAL EXPRESSWAY SUITE 500 DALLAS, TX 75231 | METROPOLITAN LIFE INSURANCE COMPANY | $207 | — | $207 | 0.07% |
| ASSUREX3 Filed as: ASSUREX AGENCY INC | 175 SOUTH THIRD STREET SUITE 800 COLUMBUS, OH 43215 | METROPOLITAN LIFE INSURANCE COMPANY | $25 | — | $25 | 0.01% |
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 | 284 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 286 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 328 | $1.2M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 567 | $292K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 567 | $292K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 567 | $292K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 567 | $292K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 567 | $292K |
| Other | METROPOLITAN LIFE INSURANCE COMPANY | 567 | $292K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 567 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.