| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN & COMPANY LLC | PO BOX 550823 HOUSTON, TX 77255 | MEMORIAL HERMANN HEALTH INSURANCE COMPANY | $29K | — | $29K | 5.51% |
| KILPATRICK COMPANIES LLC3 Filed as: KILPATRICK COMPANIES | 1050 WILCREST HOUSTON, TX 77042 | MEMORIAL HERMANN HEALTH INSURANCE COMPANY | $11K | — | $11K | 1.99% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN & COMPANY LLC | PO BOX 926 HOUSTON, TX 77001 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | — | $3K | 5.78% |
| DARIN POTTS3 | 510 BERING DRIVE HOUSTON, TX 77057 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $871 | $2K | 5.02% |
| SHARON LEA HART3 | 2441 SOUTH BYPASS 35 ALVIN, TX 77511 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 3.19% |
| DONALD GRANT JAMES3 | 2706 TAMPA STREET FRIENDSWOOD, TX 77546 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $474 | $86 | $560 | 1.24% |
| LYNDA TANNER3 | PO BOX 1225 SEABROOK, TX 77586 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $122 | — | $122 | 0.27% |
| SA GENERAL AGENCY INC3 | 9385 MILLER LANE GARDEN RIDGE, TX 78266 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $38 | — | $38 | 0.08% |
| OMAR MENDOZA3 | 26326 ROCKWALL PKWY NEW BRAUNFELS, TX 78132 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN AND COMPANY LLC | PO BOX 550823 HOUSTON, TX 77268 | METROPOLITAN LIFE INSURANCE COMPANY | $3K | — | $3K | 11.51% |
| KILPATRICK COMPANIES LLC3 | 1050 WILCREST DRIVE HOUSTON, TX 77042 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | — | $1K | 3.84% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN AND COMPANY | PO BOX 550823 HOUSTON, TX 77255 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $4K | — | $4K | 15.00% |
| KILPATRICK COMPANIES LLC3 Filed as: KILPATRICK COMPANIES LTD | 1050 WILCREST DRIVE HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 7.26% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN AND COMPANY LLC | PO BOX 550823 HOUSTON, TX 77255 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $3K | — | $3K | 15.06% |
| KILPATRICK COMPANIES LLC3 | 1050 WILCREST DRIVE HOUSTON, TX 77042 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $1K | — | $1K | 5.02% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN & COMPANY | PO BOX 550823 HOUSTON, TX 77255 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 15.00% |
| KILPATRICK COMPANIES LLC3 Filed as: KILPATRICK COMPANIES LTD | 1050 WILCREST DRIVE HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 6.91% |
| KILPATRICK COMPANIES LLC3 | 1050 WILCREST DRIVE HOUSTON, TX 77042 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 10.09% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN AND COMPANY | PO BOX 550823 HOUSTON, TX 77255 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 15.00% |
| KILPATRICK COMPANIES LLC3 Filed as: KILPATRICK COMPANIES LTD | 1050 WILCREST DRIVE HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $1K | $1K | 7.41% |
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 | 150 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 153 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEMORIAL HERMANN HEALTH INSURANCE COMPANY | 211 | $533K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 165 | $49K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 206 | $16K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 150 | $14K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 89 | $24K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 50 | $17K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 150 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 211 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.