| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 110 MARIENFELD, STE 330 MIDLAND, TX 79701 | HEALTH CARE SERVICE CORPORATION | $69K | $8 | $69K | 1.79% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 13430 NORTHWEST FWY #600 HOUSTON, TN 77040 | HEALTH CARE SERVICE CORPORATION | $25K | $3 | $25K | 0.65% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 6 DESTA DRIVE STE 5900 MIDLAND, TX 79705 | UNION SECURITY INSURANCE COMPANY | $16K | $4K | $20K | 9.13% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | PO BOX 117388 CARROLLTON, TX 750117388 | UNION SECURITY INSURANCE COMPANY | $6K | — | $6K | 2.68% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 2850 GOLF RD. GBS FINANCE 5TH FLOOR ROLLING MEADOWS, IL 60008 | SUN LIFE ASSURANCE COMPANY OF CANADA | $16K | $5K | $21K | 9.67% |
| HOTCHKISS INSURANCE AGENCY LLC3 | 4120 INTERNATIONAL PKWY #2000 CARROLLTON, TX 75007 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | — | $4K | 1.81% |
| RODGER LINCOLN WELLS3 | 415 W WALL ST STE 1818 MIDLAND, TX 79701 | AFLAC | $28K | — | $28K | 27.94% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $10K | — | $10K | 9.76% |
| MEGAN CHAPMAN3 | 415 W WALL ST STE 1818 MIDLAND, TX 79701 | AFLAC | $6K | $16 | $6K | 6.02% |
| AMANDA MCCANN POTTER3 | 911 N MIDKIFF RD MIDLAND, TX 79701 | AFLAC | $5K | — | $5K | 5.45% |
| ASHLEY N CAMPBELL3 Filed as: ASHLEY N CAPBELL | 405 N TRENCHARD ST DECATUR, TX 76234 | AFLAC | $315 | — | $315 | 0.32% |
| MICHELLE L. GRIGGS3 Filed as: MICHELLE GRIGGS | 415 W WALL ST STE 1818 MIDLAND, TX 79701 | AFLAC | $162 | — | $162 | 0.16% |
| JASON L WEEKS3 | 620 STONEGLEN DR STE L KELLER, TN 76248 | AFLAC | $45 | — | $45 | 0.05% |
| MARY L WILLIAMS3 | 1102 STEVENS ST STE 1 BRIDGEPORT, TX 76426 | AFLAC | $34 | — | $34 | 0.03% |
| MARCI M SCHNITKER3 | PO BOX 245 GUNTER, TX 75058 | AFLAC | $25 | — | $25 | 0.03% |
| OSCAR JAQUEZ3 | 1601 N TURNER ST STE 211 HOBBS, NM 88240 | AFLAC | $7 | — | $7 | 0.01% |
| BOB J BRYSON3 | 1889 SAN FERNANDO DR LAS CRUCES, NC 88011 | AFLAC | $2 | — | $2 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | 6 DESTA DRIVE STE 5900 MIDLAND, TN 79705 | UNION SECURITY INSURANCE COMPANY | $5K | $1K | $6K | 8.97% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | PO BOX 117388 CARROLLTON, TX 750117388 | UNION SECURITY INSURANCE COMPANY | $2K | — | $2K | 2.69% |
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 | 367 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 8 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 375 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 916 | $3.9M |
| Dental | UNION SECURITY INSURANCE COMPANY | 365 | $223K |
| Vision | UNION SECURITY INSURANCE COMPANY | 338 | $69K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 327 | $213K |
| Short-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 327 | $213K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 327 | $213K |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 327 | $312K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 916 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.