| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARCH AND MCLENNAN AGENCY | 2500 CITY WEST BOULEVARD, SUITE 240 HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | — | $13K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 8144 WALNUT HILL LANE, 15TH FLOOR DALLAS, TX 75231 | AMERITAS LIFE INSURANCE CORP. | $8K | — | $8K | 10.91% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | PARK 80 WEST PLAZA TWO 250 PEHLE AVENUE, SUTIE 400 SADDLE BROOK, NJ 07663 | AMERITAS LIFE INSURANCE CORP. | — | $1K | $1K | 1.61% |
| GPA3 | 12770 MERIT DRIVE DALLAS, TX 75251 | AIG | $2K | — | $2K | 10.00% |
| RICK METZELDER3 Filed as: RICK HAWKINS | 9026 MEADOW KNOLL DRIVE DALLAS, TX 75243 | TRUSTMARK INSURANCE COMPANY | $3K | — | $3K | 46.39% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH AND MCLENNAN AGENCY | 8144 WEST WALNUT HILL AVENUE, SUITE 1600 DALLAS, TX 75231 | TRUSTMARK INSURANCE COMPANY | $348 | — | $348 | 4.72% |
| RICK METZELDER3 Filed as: RICK HAWKINS | 4649 COURTYARD TRAIL PLANO, TX 75024 | SYMETRA FINANCIAL | $471 | — | $471 | 10.51% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARCH AND MCLENNAN AGENCY | 8144 WALNUT HILL AVENUE, SUITE 400 DALLAS, TX 75231 | SYMETRA FINANCIAL | $202 | — | $202 | 4.51% |
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 | 152 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 152 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AMERITAS LIFE INSURANCE CORP. | 187 | $70K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 187 | $70K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $85K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $85K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $85K |
| Other(4 contracts, 4 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 137 | $113K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
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 compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.