| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | P.O. BOX 896620 CHARLOTTE, NC 28289 | BLUECROSS BLUESHIELD OF TEXAS | $110K | — | $110K | 2.95% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS OF TX | 10100 KATY FREEWAY SUITE 400 HOUSTON, TX 77043 | BLUECROSS BLUESHIELD OF TEXAS | $118 | $4K | $4K | 0.11% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS OF TX | 10110 KATY FREEWAY SUITE 400 HOUSTON, TX 77024 | STANDARD INSURANCE COMPANY | $59K | — | $59K | 24.81% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | P.O. BOX 896620 CHARLOTTE, NC 28289 | STANDARD INSURANCE COMPANY | $16K | — | $16K | 6.84% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS & WILLIAMS | 2211 7TH AVENUE S BIRMINGHAM, AL 35233 | DEARBORN LIFE INSURANCE COMPANY | $4K | — | $4K | 9.99% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBEL & WILLIAMS OF TX | 10100 KATY FREEWAY SUITE 400 HOUSTON, TX 77043 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $563 | — | $563 | 2.69% |
| FRANCISCO COMBES3 | 3508 VERNADEAN DRIVE SE ATLANTA, GA 30339 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $146 | — | $146 | 0.70% |
| MARIA P. LIEVANO3 | 3508 VERNADEAN DRIVE SE ATLANTA, GA 30339 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $73 | — | $73 | 0.35% |
| PETER J MACE3 Filed as: PETER MACE | 5775 D GLENRIDGE DRIVE SUITE 500 ATLANTA, GA 30328 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $53 | — | $53 | 0.25% |
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 | 307 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 309 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 553 | $3.8M |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 553 | $3.7M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 281 | $38K |
| Life insurance | STANDARD INSURANCE COMPANY | 376 | $237K |
| Short-term disability | STANDARD INSURANCE COMPANY | 376 | $237K |
| Long-term disability | STANDARD INSURANCE COMPANY | 376 | $237K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 553 | — |
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.