| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| FRED MAXWELL - ACIUS GROUP3 | SUITE 203, 2591 DALLAS PARKWAY FRISCO, TX 75034 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $39K | — | $39K | 0.85% |
| PAUL HICKS3 | 7038 GREATWOOD TRAILS DR SUGAR LAND, TX 77479 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $15K | — | $15K | 0.33% |
| HARVARD PRINTING GROUP5 | 175 US HIGHWAY 46 WEST FAIRFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $902 | $902 | 0.02% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $797 | $797 | 0.02% |
| GATOR COMMUNICATIONS GROUP LLC5 | 175 US HIGHWAY 46 WEST FAIRFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $365 | $365 | 0.01% |
| FRED MAXWELL - ACIUS GROUP3 | SUITE 203, 2591 DALLAS PARKWAY FRISCO, TX 75034 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $25K | — | $25K | 0.92% |
| PAUL HICKS3 | 7038 GREATWOOD TRAILS DR SUGAR LAND, TX 77479 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 0.36% |
| HARVARD PRINTING GROUP5 | 175 US HIGHWAY 46 WEST FARIFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $570 | $570 | 0.02% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $504 | $504 | 0.02% |
| GATOR COMMUNICATIONS GROUP LLC5 | 175 US HIGHWAY 46 WEST FAIRFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $231 | $231 | 0.01% |
| FRED MAXWELL - ACIUS GROUP3 | SUITE 203, 2591 DALLAS PARWAY FRISCO, TX 75034 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $37K | — | $37K | 4.34% |
| PAUL HICKS3 | 7038 GREATWOOD TRAILS DR SUGAR LAND, TX 77479 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $14K | — | $14K | 1.70% |
| HARVARD PRINTING GROUP5 | 175 US HIGHWAY 46 WEST FARIFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $848 | $848 | 0.10% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $749 | $749 | 0.09% |
| GATOR COMMUNICATIONS GROUP LLC5 | 175 US HIGHWAY 46 WEST FAIRFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $344 | $344 | 0.04% |
| FRED MAXWELL - ACIUS GROUP3 | SUITE 203, 2591 DALLAS PARKWAY FRISCO, TX 75034 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $26K | — | $26K | 3.12% |
| PAUL HICKS3 | 7038 GREATWOOD TRAILS DR SUGAR LAND, TX 77479 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 1.22% |
| HARVARD PRINTING GROUP5 | 175 US HIGHWAY 46 WEST FAIRFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $596 | $596 | 0.07% |
| AXA ASSISTANCE, USA5 | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $526 | $526 | 0.06% |
| GATOR COMMUNICATIONS GROUP LLC5 | 175 US HIGHWAY 46 WEST FARIFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $241 | $241 | 0.03% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN L. WORTHAM & SON LLP | PO BOX 301598 DALLAS, TX 75303 | AETNA LIFE INSURANCE COMPANY | — | $2K | $2K | 0.66% |
| FRED MAXWELL - ACIUS GROUP3 | SUITE 203, 2591 DALLAS PARKWAY SUITE 220 FRISCO, TX 75034 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $48K | — | $48K | 323.60% |
| PAUL HICKS3 | 7038 GREATWOOD TRAILS DR SUGAR LAND, TX 77479 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $19K | — | $19K | 126.81% |
| HARVARD PRINTING GROUP5 | 175 US HIGHWAY 46 WEST FARIFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $1K | $1K | 7.44% |
| AXA ASSISTANCE, USA5 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $981 | $981 | 6.57% |
| GATOR COMMUNICATIONS GROUP LLC5 | 175 UH HIGHWAY 46 WEST FAIRFIELD, NJ 070042327 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $450 | $450 | 3.01% |
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 | 7,105 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 7,105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | AETNA LIFE INSURANCE COMPANY | 1,280 | $256K |
| Vision | VISION SERVICE PLAN | 4,375 | $723K |
| Life insurance(3 contracts) | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 11,873 | $6.3M |
| Long-term disability | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 7,448 | $2.7M |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 14,500 | $15K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 14,500 | — |
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.