| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HENRY & HOOPER, LLP3 Filed as: HENRY & HOPPER LLP | 2505 DOG LEG TRAIL MCKINNEY, TX 750698059 | PRINCIPAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 9.08% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE & FINANCIAL | 12404 PARK CENTRAL DR STE 400S DALLAS, TX 752511814 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 3.97% |
| HENRY & HOOPER, LLP3 Filed as: HENRY HOOPER LLP | 2505 DOG LEG TRL MCKINNEY, TX 750698059 | HUMANA INSURANCE COMPANY | $843 | $0 | $843 | 16.13% |
| HENRY & HOOPER, LLP3 | 2505 DOG LEG TRAIL MCKINNEY, TX 75069 | SUN LIFE ASSURANCE COMPANY OF CANADA | $576 | $0 | $576 | 13.97% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| HENRY & HOOPER, LLP EIN 92-1486474 BROKER | Insurance agents and brokers Service code 22 | — | $18K |
| THE BENECON GROUP EIN 23-1315351 BROKER | Insurance agents and brokers Service code 22 | — | $9K |
| INDEPENDENCE ADMINISTRATORS (IA) EIN 23-2184623 ADMIN | Claims processing Service code 12 | — | $7K |
| CONNECTCARE3 EIN 26-1768616 PATIENT ADVOCATE | Other services Service code 49 | — | $3K |
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 | 34 | 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) | 34 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 83 | $25K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 83 | $25K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 34 | $164K |
| Other(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 83 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 83 | — |
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.