| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JERRY L FERGUSON3 | 5080 SPECTRUM DRIVE, SUITE 902W ADDISON, TX 75001 | MASS MUTUAL LIFE INSURANCE CO | $217 | — | $217 | — |
| THEODORE S FRANK3 | 2493 SAN PIETRO CIRCLE PALM BEACH GARDENS, FL 33410 | MASS MUTUAL LIFE INSURANCE CO | $54 | — | $54 | — |
| JAIME GALVAN3 | 5080 SPECTRUM DRIVE, SUITE 902W ADDISON, TX 75001 | MML BAY STATE INSURANCE CO. | $10 | — | $10 | — |
| GARY E. LEWIS3 Filed as: GARY E LEWIS | 5080 SPECTRUM DRIVE, SUITE 902W ADDISON, TX 75001 | MML BAY STATE INSURANCE CO. | $5 | — | $5 | — |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| SCHWAB RETIREMENT PLAN SERVICES INC EIN 34-1479833 NONE | Participant loan processing; Recordkeeping and information management (computing, tabulating, data processing, etc.); Investment advisory (participants); Account maintenance fees; Participant communication; Recordkeeping fees; Direct payment from the plan Service code 15 | — | $278K |
| CHARLES SCHWAB & CO., INC. EIN 94-1737782 NONE | Securities brokerage; Float revenue; Securities brokerage commissions and fees; Shareholder servicing fees; Direct payment from the plan Service code 33 | — | $3K |
| CHARLES SCHWAB BANK EIN 42-1558009 NONE | Investment management fees paid indirectly by plan; Direct payment from the plan; Float revenue; Trustee (directed); Other services Service code 25 | — | $18 |
| CHARLES SCHWAB & CO AND AFFILIATES | Shareholder servicing fees Service code 59 | — | $0 |
| MML BAY STATE LIFE INSURANCE CO EIN 43-0581430 NONE | Float revenue; Investment management Service code 28 | — | $0 |
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 | 1,367 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 371 | Vested but not currently using benefits. |
| Beneficiaries receiving benefits | 3 | Spouses or dependents with eligibility independent of the participant. |
| Total participants (= "Plan participants" tile) | 1,741 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Life insurance(2 contracts, 2 carriers) | MASS MUTUAL LIFE INSURANCE CO | 12 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 12 | — |
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.