| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 9442 NORTH CAPITAL OF TEXAS HIGHWAY AUSTIN, TX 78759 | BLUECROSS BLUESHIELD OF TEXAS | $82K | $5K | $87K | 2.86% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2245 TEXAS DRIVE, SUITE 140 SUGAR LAND, TX 77479 | UNITEDHEALTHCARE INSURANCE COMPANY | $22K | $0 | $22K | 13.71% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $2K | $14K | 11.49% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $21 | $21 | 0.02% |
| JENNIFER R THOM3 Filed as: JENNIFER R. THOM | 405 J 58TH AVENUE YAKIMA, WA 98908 | AFLAC | $8K | $48 | $8K | 7.44% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | AFLAC | $5K | $0 | $5K | 5.13% |
| MJ INSURANCE3 Filed as: MARIA J. ACCURSO AND VARIOUS AGENTS | 3800 COUNTY ROAD 258 LIBERTY HILL, TX 78642 | AFLAC | $4K | $12 | $4K | 4.33% |
| SCOTT D NIELSON3 Filed as: SCOTT D. NIELSON | 12817 APPALOOSA CHASE DRIVE AUSTIN, TX 78732 | AFLAC | $2K | $0 | $2K | 2.23% |
| JAIME I VILLASANA3 Filed as: JAIME I. VILLASANA | 101 SHELF ROCK ROAD GEORGETOWN, TX 78628 | AFLAC | $2K | $0 | $2K | 2.11% |
| DAWN D STILLWELL3 Filed as: DAWN D. STILLWELL | 135 SOUTH SAGE HOLLOW DRIPPING SPRINGS, TX 78620 | AFLAC | $1K | $205 | $2K | 1.51% |
| SHELLY WIEGAND3 | 2607 ARMATRADING DRIVE CEDAR PARK, TX 78613 | AFLAC | $690 | $0 | $690 | 0.67% |
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 | 794 | 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) | 794 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 320 | $3.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 419 | $121K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 419 | $121K |
| Life insurance | UNITEDHEALTHCARE INSURANCE COMPANY | 794 | $164K |
| Short-term disability | AFLAC | 135 | $103K |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 794 | $164K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 320 | $3.0M |
| Other(4 contracts, 4 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 794 | $275K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 794 | — |
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.