| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| AMERICAP INSURANCE GROUP LLC3 | 15770 DALLAS PKWY STE 600 DALLAS, TX 75248 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $93K | $0 | $93K | 3.95% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | $10K | $0 | $10K | 0.40% |
| AMERICAP INSURANCE GROUP LLC3 | 15770 DALLAS PKWY STE 600 DALLAS, TX 75248 | KAISER FOUNDATION HEALTH PLAN INC | $26K | $0 | $26K | 3.98% |
| AMERICAP INSURANCE GROUP LLC3 | 15770 DALLAS PKWY STE 600 DALLAS, TX 75248 | KAISER FOUNDATION HEALTH PLAN INC | $26K | $0 | $26K | 4.08% |
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 | 266 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 273 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 553 | $3.7M |
| Dental | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 553 | $2.4M |
| Vision | ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY | 553 | $2.4M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 553 | — |
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.