| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | HEALTH CARE SERVICE CORPORATION | $97K | $4K | $101K | 3.55% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | DEARBORN LIFE INSURANCE COMPANY | $18K | $0 | $18K | 13.40% |
| DAVID D STILLWELL3 | 135 S SAGE HOLLOW DRIPPING SPRINGS, TX 78620 | AFLAC | $7K | $475 | $7K | 5.53% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | AFLAC | $4K | $0 | $4K | 3.37% |
| JENNIFER R THOM3 | 11908 STOUT OAK TRL AUSTIN, TX 78750 | AFLAC | $3K | $172 | $3K | 2.13% |
| JEROME JEFFREY PESEK3 Filed as: JEROME JEFREY PESEK | 12566 MESA VERDE DR AUSTIN, TX 78737 | AFLAC | $2K | $172 | $2K | 1.80% |
| ROSA NIDYA BARNETT3 | 12307 KLONDIKE RUSH PT AUSTIN, TX 78726 | AFLAC | $2K | $0 | $2K | 1.61% |
| JENNIFER L VERHAEGHE3 | PO BOX 80685 BILLINGS, MT 59108 | AFLAC | $1K | $0 | $1K | 0.92% |
| LINDA S THORNBURG3 | 7913 WISTERIA VALLEY DR AUSTIN, TX 78739 | AFLAC | $553 | $387 | $940 | 0.73% |
| SHELLY WIEGAND3 | 2607 ARMATRADING DR CEDAR PARK, TX 78613 | AFLAC | $690 | $0 | $690 | 0.54% |
| ROBERT STOKES3 | 30 WILDWOOD DR #73 GEORGETOWN, TX 78633 | AFLAC | $652 | $0 | $652 | 0.51% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | AFLAC | $430 | $0 | $430 | 0.33% |
| ANNA M BURRIS3 | 2210 SOUTHWOOD DR JACKSON, MS 39211 | AFLAC | $320 | $0 | $320 | 0.25% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | AFLAC | $232 | $0 | $232 | 0.18% |
| STEPHANIE DENISE GARLAND3 | 110 N INTERSTATE 35 STE 315 ROUND ROCK, TX 78681 | AFLAC | $212 | $0 | $212 | 0.16% |
| TERRY MICHAEL LAXSON3 | 6836 FM 2244 RD BLDG 3 AUSTIN, TX 78746 | AFLAC | $209 | $0 | $209 | 0.16% |
| TERRY MICHAEL LAXSON3 | 701 CLEAR SPRINGS HOLLOW BUDA, TX 78610 | AFLAC | $209 | $0 | $209 | 0.16% |
| JENNIFER LOWE3 | 502 MOONLIGHT CIR NEW BRAUNFELS, TX 78132 | AFLAC | $184 | $0 | $184 | 0.14% |
| LISSET ANGELA KANAK3 | PO BOX 583 CEDAR CREEK, TX 78612 | AFLAC | $167 | $0 | $167 | 0.13% |
| ROBERT D SEIBERT3 | 86 COUNTY ROAD 303 SHINER, TX 77984 | AFLAC | $147 | $0 | $147 | 0.11% |
| JANICE M KAPP3 | 10975 W CAVE BLVD DRIPPING SPRINGS, TX 78620 | AFLAC | $92 | $0 | $92 | 0.07% |
| JAMIE I VILLASANA3 | 1500 HIDDEN GLEN DR ROUND ROCK, TX 78681 | AFLAC | $91 | $0 | $91 | 0.07% |
| MITZE L RUIZ3 | 19212 ROOKERY TRL PFLUGERVILLE, TX 78660 | AFLAC | $78 | $0 | $78 | 0.06% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: KARL E BROWN JR | 1608 SHARON PL CEDAR PARK, TX 78613 | AFLAC | $53 | $0 | $53 | 0.04% |
| TIMOTHY ALLAN PURCELL3 | 1094 WINDMEADOWS DR COLLEGE STATION, TX 77845 | AFLAC | $49 | $0 | $49 | 0.04% |
| BARBARA BAROS3 | 5301 GOSHEN CT CORPUS CHRISTI, TX 78413 | AFLAC | $45 | $0 | $45 | 0.03% |
| GREGORY J WEEKS3 | 1259 LOOP 337 2ND FL NEW BRAUNFELS, TX 78130 | AFLAC | $41 | $0 | $41 | 0.03% |
| LARRY W MARONEY3 | 1230 MOUNTAIN BREEZE CANYON LAKE, TX 78133 | AFLAC | $41 | $0 | $41 | 0.03% |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES ROBERT BLAKEY | 14234 SAVANNAH PASS SAN ANTONIO, TX 78216 | AFLAC | $40 | $0 | $40 | 0.03% |
| JAMES L CAUBLE3 | 329 COLONIAL ST MEADOWLAKES, TX 78654 | AFLAC | $36 | $0 | $36 | 0.03% |
| HEATHER F SEIBERT3 Filed as: HEATHER S SEIBERT | 86 COUNTY RD 303 SHINER, TX 77984 | AFLAC | $23 | $0 | $23 | 0.02% |
| JAY T REX3 | 3710 CANEY CREEK RD AUSTIN, TX 78732 | AFLAC | $14 | $0 | $14 | 0.01% |
| HELEN MARIE MOORE3 | 3755 WACO ST BEAUMONT, TX 77705 | AFLAC | $4 | $0 | $4 | 0.00% |
| BOBBY J WAKHAM3 | 1466 ROSEWOOD DR ABILENE, TX 79603 | AFLAC | $2 | $0 | $2 | 0.00% |
| KACY LAVENDER3 Filed as: KACY K LAVENDER | 307 SPRING CREEK MOODY, TX 76557 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $2K | $0 | $2K | 16.91% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $1K | $0 | $1K | 10.51% |
| KEVIN PUTNAM3 | 3499 RANCH RD 620 S AUSTIN, TX 78738 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $188 | $0 | $188 | 1.34% |
| CATALANO CONSULTING & INS SERVICES3 | 175 E ELM CRESCENT SPRING, TX 77382 | PRE-PAID LEGAL SERVICES INC DBA LEGAL SHIELD | $37 | $0 | $37 | 0.26% |
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 | 321 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 321 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 374 | $2.8M |
| Dental | HEALTH CARE SERVICE CORPORATION | 374 | $2.8M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 321 | $136K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 321 | $136K |
| Short-term disability | AFLAC | 188 | $129K |
| Other(4 contracts, 4 carriers) | DEARBORN LIFE INSURANCE COMPANY | 436 | $289K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 436 | — |
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.