| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GRANT INSURANCE AGENCY, INC.3 | 4146 WILLIAM AVE NORTH RICHLAND HILLS, TX 76180 | AETNA LIFE INSURANCE CO. | $110K | — | $110K | 3.04% |
| GRANT INSURANCE AGENCY, INC.3 | 4146 WILLIAMS AVE. NORTH RICHLAND HILLS, TX 76180 | UNION SECURITY INSURANCE COMPANY | $37K | — | $37K | 10.55% |
| GRANT INSURANCE AGENCY, INC.3 | 4146 WILLIAM AVE FORT WORTH, TX 761808616 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | — | $5K | 4.59% |
| GRANT INSURANCE AGENCY, INC.3 Filed as: GRANT INSURANCE AGENCY | 2929 W. FIFTH ST., STE. 8 FORT WORTH, TX 76107 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
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 | 790 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 790 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 790 | $3.6M |
| Dental(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 1,167 | $448K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 297 | $29K |
| Life insurance(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 1,167 | $448K |
| Short-term disability(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 1,167 | $448K |
| Long-term disability | UNION SECURITY INSURANCE COMPANY | 292 | $349K |
| Other(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 1,167 | $448K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,167 | — |
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.
Multiple-employer welfare arrangement. Specific regulatory and compliance context; specific consultant niche.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.