| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FIRST FINANCIAL ADMINISTRATORS INC5 | PO BOX 670329 HOUSTON, TX 77267 | FIRST FINANCIAL ADMINISTRATORS, INC. | $1K | — | $1K | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD FL 21Q ROLLING MDWS, IL 600084050 | AMERITAS LIFE INSURANCE CORP. | — | $1K | $1K | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 2807 CLINTON, IA 52733 | AMERITAS LIFE INSURANCE CORP. | $1K | — | $1K | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6421 PERKINGS RD STE 2B BLDG A BATON ROUGE, LA 708086200 | BLUE CROSS BLUE SHIELD OF LOUISIANA | — | $10K | $10K | — |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6421 PERKINGS RD STE 2B BLDG A BATON ROUGE, LA 708086200 | BLUE CROSS BLUE SHIELD OF LOUISIANA | $9K | — | $9K | — |
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 | 244 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 244 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF LOUISIANA | 41 | $0 |
| Dental | AMERITAS LIFE INSURANCE CORP. | 184 | $0 |
| Vision | AMERITAS LIFE INSURANCE CORP. | 184 | $0 |
| Other | FIRST FINANCIAL ADMINISTRATORS, INC. | 19 | $0 |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 184 | — |
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.