| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 8834 N CAPITAL OF TEXAS HWY STE 300 AUSTIN, TX 78759 | BLUE CROSS BLUE SHIELD OF TEXAS | $88K | $2K | $90K | 4.01% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 2400 N GLENVILLE DR STE B125 RICHARDSON, TX 75082 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $17K | $0 | $17K | 14.02% |
| INSURICA, INC.3 Filed as: INSURICA INSURANCE SERVICES, LLC | 8834 N CAPITAL OF TEXAS HWY SUITE 300 AUSTIN, TX 78759 | ANSEL SERVICES | $6K | $0 | $6K | 20.00% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 9600 GREAT HILLS TRAIL STE 225W AUSTIN, TX 78759 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | $0 | $3K | 20.04% |
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 | 171 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 13 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 184 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 228 | $2.2M |
| Dental | BLUE CROSS BLUE SHIELD OF TEXAS | 228 | $2.2M |
| Vision | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 171 | $123K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 171 | $123K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 171 | $123K |
| Long-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 171 | $123K |
| Other(3 contracts, 3 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 171 | $168K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 228 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.