| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 5151 BELT LINE ROAD, SUITE 200 DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $21K | $270 | $21K | 8.70% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK, INC. | 200 LIBERTY STREET NEW YORK, NY 10281 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 2.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 5151 BELT LINE ROAD, SUITE 200 DALLAS, TX 75254 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 10.51% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 5151 BELT LINE ROAD, SUITE 200 DALLAS, TX 75254 | EYEMED | $2K | — | $2K | 5.72% |
| WILLIS TOWERS WATSON US LLC3 Filed as: WILLIS OF NEW YORK, INC. | 200 LIBERTY STREET NEW YORK, NY 10281 | EYEMED | $638 | — | $638 | 2.27% |
| BRADLEY B. PIERSON3 | 6020 BUSHNELL DRIVE, APARTMENT 1214 FORT WORTH, TX 76116 | AFLAC | $945 | $225 | $1K | 10.68% |
| JERRY M. SHULER3 | 13500 MIDWAY ROAD, SUITE 401 DALLAS, TX 75244 | AFLAC | $685 | — | $685 | 6.26% |
| MJ INSURANCE3 Filed as: LISA PACE AND VARIOUS AGENTS | 820 CREEKSIDE DRIVE MESQUITE, TX 75181 | AFLAC | $400 | $45 | $445 | 4.06% |
| ALEX M. ROSSON3 | 516 LOMA VISTA DRIVE ROCKWALL, TX 75032 | AFLAC | $305 | — | $305 | 2.79% |
| DON J CONOYER3 Filed as: DON J. CONOYER | 303 HOGUE LANE WYLIE, TX 75098 | AFLAC | $199 | — | $199 | 1.82% |
| ROBERT SHEPARD COOPER3 | PO BOX 609 SANGER, TX 76266 | AFLAC | $148 | $45 | $193 | 1.76% |
| LYNITA SUE PIERSON3 | 1550 HIGHWAY 2318 DE LEON, TX 76444 | AFLAC | $118 | $45 | $163 | 1.49% |
| LINDEE M WARD3 Filed as: LINDEE M. WARD, INC. | 7509 NW TIFFANY SPRINGS PARKWAY SUITE 100 KANSAS CITY, MO 64153 | AFLAC | $440 | $262 | $702 | 7.37% |
| JEREMY FRYE & ASSOCIATES INC3 Filed as: JEREMY F AND ASSOC AND OTHER AGENTS | 1508 NORTH CHURCH ROAD, SUITE B LIBERTY, MO 64068 | AFLAC | $521 | $159 | $680 | 7.14% |
| MCINNES GROUP, INC.3 | 4300 SHAWNEE MISSION PARKWAY SUITE 100 FAIRWAY, KS 66205 | AFLAC | $584 | — | $584 | 6.13% |
| JERRY M. SHULER3 | 13500 MIDWAY ROAD, SUITE 401 DALLAS, TX 75244 | AFLAC | $353 | — | $353 | 3.70% |
| SHANNON N SMITH3 Filed as: SHANNON N. SMITH | 1525 SE PICCADILLY STREET BLUE SPRINGS, MO 64014 | AFLAC | $285 | — | $285 | 2.99% |
| PENNY K WRIGHT3 Filed as: PENNY K. WRIGHT | 525 NE KARAPAT DRIVE KANSAS CITY, MO 64155 | AFLAC | $151 | $69 | $220 | 2.31% |
| VICKIE SUE MASTERS3 | 1209 JUDY STREET WHITE SETTLEMENT, TX 76108 | AFLAC | $194 | — | $194 | 2.04% |
| KENT A TOWNSEND3 Filed as: KENT A. TOWNSEND | 9318 CHISHOLM TRAIL TYLER, TX 75703 | AFLAC | $481 | $42 | $523 | 7.30% |
| BRITTON D ATWOOD3 Filed as: BRITTON D. ATWOOD | 803 CEDAR CREEK DRIVE TYLER, TX 75703 | AFLAC | $304 | $42 | $346 | 4.83% |
| MICHAEL FATHERREE3 Filed as: MICHAEL FATHERREE AND OTHER AGENTS | 11876 MOORHEN CIRCLE FORT WORTH, TX 76244 | AFLAC | $300 | $34 | $334 | 4.66% |
| JERRY M. SHULER3 | 13500 MIDWAY ROAD, SUITE 401 DALLAS, TX 75244 | AFLAC | $90 | — | $90 | 1.26% |
| BENEFITS AT WORK LLC3 | 712 SOUTH CHILTON AVENUE TYLER, TX 75701 | AFLAC | $72 | $17 | $89 | 1.24% |
| JEANNETTE E FATHERREE3 Filed as: JEANNETTE E. FATHERREE | 11876 MOORHEN CIRCLE FORT WORTH, TX 76244 | AFLAC | $75 | — | $75 | 1.05% |
| ADAM SCOTT3 | 352 ZAMBEZI LANE BULLARD, TX 75757 | AFLAC | $64 | — | $64 | 0.89% |
| MJ INSURANCE3 Filed as: CHRISTOPHER HOOD AND VARIOUS AGENTS | 160 COUNTY ROAD 4553 WINNSBORO, TX 75494 | AFLAC | $114 | — | $114 | 3.74% |
| LAURA GLASS3 | 524 NEVADA 48 SOUTH PRESCOTT, AR 71857 | AFLAC | $92 | — | $92 | 3.02% |
| ROBERT G GLASS3 Filed as: ROBERT G. GLASS | 524 NEVADA 48 SOUTH PRESCOTT, AR 71857 | AFLAC | $55 | — | $55 | 1.81% |
| BRITTON D ATWOOD3 Filed as: BRITTON D. ATWOOD | 803 CEDAR CREEK DRIVE TYLER, TX 75703 | AFLAC | $52 | — | $52 | 1.71% |
| KENT A TOWNSEND3 Filed as: KENT A. TOWNSEND | 9318 CHISHOLM TRAIL TYLER, TX 75703 | AFLAC | $52 | — | $52 | 1.71% |
| WILLIAM S. GREENING3 | 2310 LOCUST STREET TEXARKANA, AR 71854 | AFLAC | $35 | — | $35 | 1.15% |
| JERRY M. SHULER3 | 13500 MIDWAY ROAD, SUITE 401 DALLAS, TX 75244 | AFLAC | $29 | — | $29 | 0.95% |
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 | 522 | 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) | 522 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 760 | $302K |
| Vision | EYEMED | 579 | $28K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 760 | $302K |
| Short-term disability(4 contracts) | AFLAC | 522 | $31K |
| Other(6 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 760 | $333K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 760 | — |
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.