| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TRAVIS IAN WEST3 | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | AETNA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 0.46% |
| MCGOLDRICK CONSULTING INC3 Filed as: MCGOLDRICK CONSULTING, INC | 1150 EAST ORANGE THORPE AVENUE PLACENTA, CA 92870 | AETNA LIFE INSURANCE COMPANY | $6K | $0 | $6K | 0.46% |
| FRINGE INSURANCE BENEFITS, INC.3 Filed as: FRINGE INSURANCE BENEFITS INC. | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | AETNA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.16% |
| BUKATY COMPANIES3 | 4601 COLLEGE BLVD, SUITE 100 LEAWOOD, KS 66211 | AETNA LIFE INSURANCE COMPANY | $2K | $0 | $2K | 0.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| MCGOLDRICK CONSULTING INC AGENT/BROKER | Insurance agents and brokers Service code 22 | 1150 E ORANGETHROPE AVE PLACENTIA, CA 92870 | $46K |
| TRAVIS IAN WEST AGENT/BROKER | Insurance agents and brokers Service code 22 | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | $46K |
| BUKATY COMPANIES AGENT/BROKER | Insurance agents and brokers Service code 22 | 4601 COLLEGE BOULEVARD, SUITE 100 LEAWOOD, KS 66211 | $16K |
| FRINGE INSURANCE BENEFITS AGENT/BROKER | Insurance agents and brokers Service code 22 | 11910 ANDERSON MILL ROAD AUSTIN, TX 78726 | $16K |
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 | 155 | 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) | 155 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE COMPANY | 155 | $1.3M |
| Dental | AETNA LIFE INSURANCE COMPANY | 155 | $1.3M |
| Vision | AETNA LIFE INSURANCE COMPANY | 155 | $1.3M |
| Prescription drug | AETNA LIFE INSURANCE COMPANY | 155 | $1.3M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 155 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.