| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC Filed as: MCGRIFF SEIBELS & WILLIAMS OF TEXAS | — | BLUE CROSS AND BLUE SHIELD OF TEXAS | $0 | $10K | $10K | 0.07% |
| MCGRIFF INSURANCE SERVICES INC Filed as: MCGRIFF SEIBELS & WILLIAMS OF TEXAS | STE 500 818 TOWN AND COUNTRY BLVD HOUSTON, TX 77024 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $230K | $44K | $274K | 10.24% |
| CHRISTIANSEN INSURANCE GROUP, INC. Filed as: CHRISTIANSEN INSURANCE | — | TRIPLE S SALUD, INC | $3K | — | $3K | 0.50% |
| CHRISTIANSEN INSURANCE GROUP, INC. Filed as: CHRISTIANSEN INSURANCE | P O BOX 11992 SAN JUAN, PR 00922 | DELTA DENTAL OF PUERTO RICO, INC | — | — | $0 | 0.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| METROPOLITAN LIFE INSURANCE COMPANY EIN 13-5581829 | Contract Administrator; Claims processing Service code 12 | — | $533K |
| UNITED HEALTHCARE SERVICES, INC EIN 41-1289245 | Other services; Claims processing Service code 12 | — | $118K |
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 | 17,186 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 17,186 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF TEXAS | 29,406 | $16.9M |
| Dental | DELTA DENTAL OF PUERTO RICO, INC | 172 | $28K |
| Vision(2 contracts, 2 carriers) | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 11,333 | $1.1M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 17,186 | $2.7M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 17,186 | $2.7M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 17,186 | $2.7M |
| Prescription drug(3 contracts, 3 carriers) | BLUE CROSS AND BLUE SHIELD OF TEXAS | 29,406 | $16.9M |
| Other | TRIPLE S SALUD, INC | 169 | $551K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 29,406 | — |
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."
No prospect flags tripped on this filing.