| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| EICHLITZ DENNIS WRAY & WESTHEIMER3 | PO BOX 795008 SAN ANTONIO, TX 78279 | UNITED HEALTHCARE INSURANCE COMPANY | $6K | $104K | $110K | 3.65% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 | 131 INTERPARK BVLD SAN ANTONIO, TX 78216 | METROPOLITAN LIFE INSURANCE COMPANY | $45K | $2K | $47K | 10.89% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $972 | — | $972 | 2.06% |
| SHARON K CAREW3 Filed as: SHARON CAREW | 2907 ELK RIVER TRAIL BULVERDE, TX 78163 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $465 | — | $465 | 0.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER VOLUNTARY BENEFITS LLC | PO BOX 782324 SAN ANTONIO, TX 78278 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $265 | — | $265 | 0.56% |
| TIMOTHY J REED3 Filed as: TIMOTHY COBB | 116 SPINEL LN KNIGHTGALE, NC 27545 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $256 | — | $256 | 0.54% |
| SA GENERAL AGENCY INC3 | 9385 MILLER LANE GARDEN RIDGE, TX 78266 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $127 | — | $127 | 0.27% |
| KELLY MELISSA KRISCH3 | 725 RIVER BLUFF DRIVE LYTLE, TX 78052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $119 | — | $119 | 0.25% |
| BRUCE D AKERS3 | 2383 CALYPSO LANE LEAGUE CITY, TX 77573 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $101 | — | $101 | 0.21% |
| LES MILLER3 | 2249 INDUSRIAL BLVD ABILENE, TX 79602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $87 | — | $87 | 0.18% |
| GAYLE B WILLS3 Filed as: GAYLE WILLS | 2923 ELK RIVER TRL BULVERDE, TX 78163 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $79 | — | $79 | 0.17% |
| PAMELA M EDWARDS3 Filed as: PAMELA EDWARDS | 2707 STRONG OAK SAN ANTONIO, TX 78247 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $67 | — | $67 | 0.14% |
| THOMAS C WILLS3 | 2923 ELK RIVER TRAIL BULVERDE, TX 78163 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $22 | — | $22 | 0.05% |
| LEONIDES H VILLA3 | 522 E VILLARET BLVD SAN ANTONIO, TX 78221 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| BRIAN WHITE3 Filed as: BRIAN R MADTES | 1308 JAMES COOK WINDCREST, TX 78239 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2 | $1 | $3 | 0.01% |
| CHARLES KRAUT3 | 8812 ASHCROFT N RICHLAND HILLS, TX 76182 | TRANSAMERICA LIFE INSURANCE COMPANY | $717 | — | $717 | 4.29% |
| JOHN WANE3 | PO BOX 9366 YAKIMA, WA 98909 | TRANSAMERICA LIFE INSURANCE COMPANY | $584 | — | $584 | 3.49% |
| MELINDA SUTHERLAND3 | 13750 SAN PEDRO AVE STE 530 SAN ANTONIO, TX 782324390 | TRANSAMERICA LIFE INSURANCE COMPANY | $401 | — | $401 | 2.40% |
| WORTHAM SAN ANTONIO INC3 Filed as: ANTONIO WORTHAM SAN | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | TRANSAMERICA LIFE INSURANCE COMPANY | $138 | — | $138 | 0.83% |
| MELINDA SUTHERLAND3 | PO BOX 795008 SAN ANTONIO, TX 78279 | HUMANA INSURANCE COMPANY | $550 | — | $550 | 3.50% |
| MELINDA SUTHERLAND3 | PO BOX 795008 SAN ANTONIO, TX 78279 | HUMANA INSURANCE COMPANY | $50 | — | $50 | 1.27% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM FORT WORTH INC | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $288 | — | $288 | 14.99% |
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 | 355 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 7 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 362 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 781 | $3.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 1,142 | $435K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 781 | $3.0M |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 1,142 | $435K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 1,142 | $435K |
| Other(6 contracts, 5 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 1,142 | $521K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,142 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.