| 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 | $10K | — | $10K | 0.31% |
| GALLAGHER BENEFIT SERVICES, INC.5 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | DEARBORN LIFE INSURANCE | $7K | $11K | $18K | 7.10% |
| 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 | 3.24% |
| GALLAGHER BENEFIT SERVICES, INC.5 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $821 | $821 | 3.30% |
| LOUIE ALMANZA3 | 4171 N. MESA ST., SUITE A102 EL PASO, TX 79902 | AFLAC | $1K | — | $1K | 4.19% |
| LISA A ALMANZA3 | 4171 N. MESA ST., SUITE A102 EL PASO, TX 79902 | AFLAC | $784 | — | $784 | 3.17% |
| JOSH MURILLO3 | 5959 GATEWAY BLVD W, STE 620 EL PASO, TX 79925 | AFLAC | $400 | — | $400 | 1.62% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC | 4605 COLUMBUS ST VIRGINIA BEACH, VA 23462 | AFLAC | $382 | — | $382 | 1.54% |
| TRACY L MURILLO3 | 5959 GATEWAY BLVD W, STE 620 EL PASO, TX 79925 | AFLAC | $107 | — | $107 | 0.43% |
| STEVEN WHITTEN3 | 7606 UNIVERSITY AVE, STE D LUBBOCK, TX 79423 | AFLAC | $51 | — | $51 | 0.21% |
| VERNON P HERRERA3 | PO BOX 310 SANTA FE, NM 87504 | AFLAC | $15 | — | $15 | 0.06% |
| KAREN LYNN GRACZYK3 | 378 LEE ROAD 2194 PHENIX CITY, AL 36870 | AFLAC | $14 | — | $14 | 0.06% |
| AMANDA MCCANN POTTER3 | PO BOX 591 COMFORT, TX 78013 | AFLAC | $10 | — | $10 | 0.04% |
| JEROME JEFFREY PESEK3 | 12566 MESA VERDE DR AUSTIN, TX 78737 | AFLAC | $10 | — | $10 | 0.04% |
| JEREMY CONGO3 | 20315 PALOMAR POINTE DR CYPRESS, TX 77433 | AFLAC | $9 | — | $9 | 0.04% |
| JASON MARONEY3 | PO BOX 841 INGRAM, TX 78025 | AFLAC | $9 | — | $9 | 0.04% |
| ERIC J LEGER3 | 623 E. 7TH 1/2 ST HOUSTON, TX 77007 | AFLAC | $8 | — | $8 | 0.03% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT L CLARK | 5601 COUNTY ROAD LUBBOCK, TX 79407 | AFLAC | $5 | — | $5 | 0.02% |
| ARON S ROBERTSON3 | 6202 WEST AVE SAN ANTONIO, TX 78213 | AFLAC | $5 | — | $5 | 0.02% |
| BARBARA BAROS3 | 5301 GOSHEN CT CORPUS CHRISTI, TX 78413 | AFLAC | $4 | — | $4 | 0.02% |
| DAVID HANCOCK INC3 | PO BOX 423 LAVON, TX 75166 | AFLAC | $2 | — | $2 | 0.01% |
| BRANDON D WASHINGTON3 | 9806 SHETLAND PASS CONVERSE, TX 78109 | AFLAC | $2 | — | $2 | 0.01% |
| JOHN DAVID BODKER3 Filed as: JOHN DAVID BODKER II | 11415 SPRIGHTLY LN SAN ANTONIO, TX 78254 | AFLAC | $2 | — | $2 | 0.01% |
| LARRY W MARONEY3 | 1230 MOUNTAIN BREEZE CANYON LAKE, TX 78133 | AFLAC | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.5 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | — | $0 | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | — | $0 | — |
| GALLAGHER BENEFIT SERVICES, INC.4 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD ROLLING MEADOWS, IL 60008 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | — | $0 | — |
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 | 465 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 465 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 517 | $3.1M |
| Dental(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 517 | $3.1M |
| Vision | EYEMED VISION CARE | 508 | $25K |
| Life insurance(3 contracts, 2 carriers) | DEARBORN LIFE INSURANCE | 699 | $252K |
| Short-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 105 | $25K |
| Long-term disability(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 281 | $70K |
| Other(4 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 517 | $3.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 699 | — |
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.