| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NFP INSURANCE SERVICES INC3 Filed as: NFP ADVISOR SERVICES LLC | 1250 S. CAPITAL OF TEXAS HWY WEST LAKE HILLS, TX 787466395 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $8K | — | $8K | 3.48% |
| GARY E. LEWIS3 | 5080 SPECTRUM DR., SUITE 902W ADDISON, TX 750014649 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $1K | — | $1K | 0.55% |
| MCCASKILL, THOMAS III3 | P.O. BOX 18981 OKLAHOMA CITY, OK 731540981 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $567 | — | $567 | 0.26% |
| WOODRUFF, FRANK EDWARD JR.3 | 10101 REUNION PL., STE 300 SAN ANTONIO, TX 782164157 | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | $142 | — | $142 | 0.06% |
| PREMIER SOURCE LLC3 | 211 N. ROBINSON AVE., SUITE 1250 OKLAHOMA CITY, OK 73102 | DELTA DENTAL | $7K | — | $7K | 4.00% |
| PREMIERSOURCE LLC3 | 211 N. ROBINSON AVE., SUITE 1250 OKLAHOMA CITY, OK 73102 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $5K | $764 | $6K | 5.68% |
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 | 313 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 314 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | DELTA DENTAL | 223 | $173K |
| Life insurance | MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY | 168 | $219K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 181 | $102K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 223 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.