| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | 8144 WALNUT HILL LN STE 1600 DALLAS, TX 75231 | BLUECROSS BLUESHIELD OF TEXAS | — | $17K | $17K | 1.37% |
| MARSH & MCLENNAN AGENCY LLC3 | 8144 WALNUT HILL LN STE 1600 DALLAS, TX 75231 | UNUM INSURANCE COMPANY | $37K | $5K | $41K | 22.66% |
| MARSH & MCLENNAN AGENCY LLC3 | 8144 WALNUT HILL LN STE 1600 DALLAS, TX 75231 | UNUM INSURANCE COMPANY | $20K | $3K | $23K | 17.89% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY | 8144 WALNUT HILL LN STE 1600 DALLAS, TX 75231 | MEDICAL AIR SERVICES ASSOCIATION, INC. | $28K | — | $28K | 23.82% |
| EIDSON, DARELL, LAWAYNE3 Filed as: EIDSON, DARELL LAWAYNE | STE 219 16700 HWY 280 CHELSEA, AL 35043 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $606 | — | $606 | 1.43% |
| MMA DALLAS-WALNUT HILL3 | 8144 WALNUT HILL LN 16TH FL DALLAS, TX 75261 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $433 | — | $433 | 1.02% |
| EIDSON, DARELL, LAWAYNE3 Filed as: EIDSON, DARELL LAWAYNE | STE 219 16700 HWY 280 CHELSEA, AL 35043 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $184 | — | $184 | 0.44% |
| MMA DALLAS-WALNUT HILL3 | 8144 WALNUT HILL LN 16TH FL DALLAS, TX 75261 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $49 | — | $49 | 0.12% |
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 | 1,050 | 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) | 1,050 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 2,761 | $1.2M |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 2,761 | $1.2M |
| Vision | VISION SERVICE PLAN | 865 | $96K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,090 | $1.2M |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,090 | $1.2M |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,090 | $1.2M |
| Other(7 contracts, 5 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 2,090 | $1.7M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 2,761 | — |
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.