| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC. Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | BLUECROSS BLUESHIELD OF TEXAS | $6K | — | $6K | 0.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $4K | $4K | 2.85% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $6K | $6K | 6.77% |
| GALLAGHER BENEFIT SERVICES, INC.5 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $7K | $7K | 7.59% |
| GALLAGHER BENEFIT SERVICES, INC.1 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $5K | $5K | 7.53% |
| LOUIE ALMANZA3 | 4171 N. MESA ST., SUITE A102 EL PASO, TX 79902 | AFLAC | $1K | $0 | $1K | 4.12% |
| LISA A ALMANZA3 | 4171 N. MESA ST., SUITE A102 EL PASO, TX 79902 | AFLAC | $887 | — | $887 | 3.29% |
| JOSH MURILLO3 | 5959 GATEWAY BLVD W, STE 620 EL PASO, TX 79925 | AFLAC | $423 | — | $423 | 1.57% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC | 2505 E MISSOURI AVE EL PASO, TX 79903 | AFLAC | $418 | — | $418 | 1.55% |
| TRACY L MURILLO3 | 5959 GATEWAY BLVD W, STE 620 EL PASO, TX 79925 | AFLAC | $122 | — | $122 | 0.45% |
| STEVEN WHITTEN3 | 7606 UNIVERSITY AVE, STE D LUBBOCK, TX 79423 | AFLAC | $47 | — | $47 | 0.17% |
| VERNON P HERRERA3 | PO BOX 310 SANTA FE, NM 87504 | AFLAC | $17 | — | $17 | 0.06% |
| KAREN LYNN GRACZYK3 | 378 LEE ROAD 2194 PHENIX CITY, AL 36870 | AFLAC | $14 | — | $14 | 0.05% |
| ARON S ROBERTSON3 | 12811 WATERLILY WAY SAN ANTONIO, TX 78254 | AFLAC | $12 | — | $12 | 0.04% |
| JEREMY CONGO3 | 12101 SIGNAL AVE NE ALBUQUERQUE, NM 87122 | AFLAC | $9 | — | $9 | 0.03% |
| AMANDA MCCANN POTTER3 | 911 N MIDKIFF RD MIDLAND, TX 79701 | AFLAC | $9 | — | $9 | 0.03% |
| JEROME JEFFREY PESEK3 | 12566 MESA VERDE DR AUSTIN, TX 78737 | AFLAC | $9 | — | $9 | 0.03% |
| ANGELA R DAVIS3 | 4025 GILDAS PATH PFLUGERVILLE, TX 78660 | AFLAC | $9 | — | $9 | 0.03% |
| JASON MARONEY3 | PO BOX 841 INGRAM, TX 78025 | AFLAC | $9 | — | $9 | 0.03% |
| BRANDON D WASHINGTON3 | 9806 SHETLAND PASS CONVERSE, TX 78109 | AFLAC | $9 | — | $9 | 0.03% |
| ERIC J LEGER3 | 623 E. 7TH 1/2 ST HOUSTON, TX 77007 | AFLAC | $8 | — | $8 | 0.03% |
| JOHN DAVID BODKER3 Filed as: JOHN DAVID BODKER II | 11415 SPRIGHTLY LN SAN ANTONIO, TX 78254 | AFLAC | $6 | — | $6 | 0.02% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT L CLARK | 5601 COUNTY ROAD LUBBOCK, TX 79407 | AFLAC | $5 | — | $5 | 0.02% |
| BARBARA BAROS3 | 5301 GOSHEN CT CORPUS CHRISTI, TX 78413 | AFLAC | $4 | — | $4 | 0.01% |
| JOAQUIN M DAVILA3 | 1505 GEORGE DIETER DR., SUITE 109 EL PASO, TX 79936 | AFLAC | $1 | — | $1 | 0.00% |
| DAVID HANCOCK INC3 | PO BOX 423 LAVON, TX 75166 | AFLAC | $1 | — | $1 | 0.00% |
| LARRY W MARONEY3 | 1230 MOUNTAIN BREEZE CANYON LAKE, TX 78133 | AFLAC | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.4 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 7.38% |
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 | 313 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 313 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 573 | $3.4M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 312 | $148K |
| Vision | EYEMED VISION CARE | 551 | $29K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 635 | $184K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 173 | $122K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 261 | $163K |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 635 | $211K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 635 | — |
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 comp is under 1% of premium on a >$1M plan. Plan may be flying solo or paying a flat fee — consultant sales target.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.