| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES SOUTHWEST | 7600-C NORTH CAPITAL OF TX HIGHWAY SUITE 200 AUSTIN, TX 78731 | BLUECROSS BLUESHIELD OF TEXAS | $52K | $11K | $63K | 5.27% |
| USI INSURANCE SERVICES LLC3 | PO BOX 61187 VIRGINIA BEACH, VA 23466 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $14K | $6K | $21K | 21.39% |
| MARIA J. ACCURSO3 | 3800 COUNTY ROAD, SUITE 258 LIBERTY HILL, TX 78642 | AFLAC | $2K | $88 | $3K | 9.23% |
| JAIME I VILLASANA3 Filed as: JAIME I. VILLASANA | 101 SHELF ROCK ROAD GEORGETOWN, TX 78628 | AFLAC | $1K | $23 | $1K | 4.85% |
| CARTER MAY3 Filed as: CARTER A. MAY | PO BOX 341015 AUSTIN, TX 78734 | AFLAC | $859 | $13 | $872 | 3.19% |
| STEPHANIE S. HOBBS3 | 2500 DIOR DRIVE CEDAR PARK, TX 78613 | AFLAC | $485 | $0 | $485 | 1.78% |
| SHELLY WIEGAND3 Filed as: SHELLY WIEGAND AND OTHER AGENTS | 2607 ARMATRADING DRIVE CEDAR PARK, TX 78613 | AFLAC | $394 | $0 | $394 | 1.44% |
| LAXSON BENEFITS LLC3 Filed as: LAXSON BENEFITS, LLC | 2028 EAST BEN WHITE BOULEVARD SUITE 235 AUSTIN, TX 78741 | AFLAC | $255 | $23 | $278 | 1.02% |
| ERIC NOTHNAGEL3 | 1821 WESTINGHOUSE ROAD, SUITE 1190 GEORGETOWN, TX 78626 | AFLAC | $247 | $0 | $247 | 0.90% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES SOUTHWEST | 9811 KATY FREEWAY, SUITE 500 HOUSTON, TX 77024 | DEARBORN LIFE INSURANCE COMPANY | $1K | $399 | $2K | 12.63% |
| JAIME I VILLASANA3 Filed as: JAIME I. VILLASANA | 101 SHELF ROCK ROAD GEORGETOWN, TX 78628 | AFLAC | $174 | $0 | $174 | 4.56% |
| ERIC NOTHNAGEL3 | 1821 WESTINGHOUSE ROAD, SUITE 1190 GEORGETOWN, TX 78626 | AFLAC | $82 | $0 | $82 | 2.15% |
| CARTER MAY3 Filed as: CARTER A. MAY | PO BOX 341015 AUSTIN, TX 78734 | AFLAC | $55 | $0 | $55 | 1.44% |
| SHELLY WIEGAND3 | 2607 ARMATRADING DRIVE CEDAR PARK, TX 78613 | AFLAC | $53 | $0 | $53 | 1.39% |
| NIGEL M HIGGS3 Filed as: NIGEL M. HIGGS | 550 COUNTY ROAD 431 TAYLOR, TX 76574 | AFLAC | $35 | $0 | $35 | 0.92% |
| ROBERT D SEIBERT3 Filed as: ROBERT D. SEIBERT AND OTHER AGENTS | 86 COUNTRY ROAD, SUITE 303 SHINER, TX 77984 | AFLAC | $12 | $0 | $12 | 0.31% |
| THOMAS H. BALL3 | 600 WEST 5TH STREET, SUITE 200 AUSTIN, TX 78701 | AFLAC | $9 | $0 | $9 | 0.24% |
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 | 183 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 196 | $1.2M |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 196 | $1.2M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 92 | $14K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 189 | $96K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 189 | $96K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 189 | $96K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 196 | $1.2M |
| Other(3 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 189 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 196 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.