| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN & CO, LLC | — | MEMORIAL HERMANN HEALTH INSURANCE COMPANY | $65K | — | $65K | 6.01% |
| KILPATRICK COMPANIES LLC3 Filed as: KILPATRICK COMPANIES | — | MEMORIAL HERMANN HEALTH INSURANCE COMPANY | $22K | — | $22K | 2.00% |
| DARIN POTTS3 | 100 DETERING STREET APARTMENT 2128 HOUSTON, TX 77007 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $3K | $6K | 10.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN & CO LLC | PO BOX 550823 HOUSTON, TX 77255 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | — | $6K | 9.66% |
| VERA ANN PAREDES3 | PO BOX 4475 PASADENA, TX 77502 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | $734 | $5K | 7.84% |
| BOWLES INSURANCE SERVICES LLC3 | 12816 SOUTH WINDING PINES DRIVE TOMBALL, TX 77375 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $595 | $2K | 2.86% |
| WAYNE JAMES PITRIE3 | 9737 BEVLYN DRIVE HOUSTON, TX 77025 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $59 | — | $59 | 0.09% |
| LYNDA TANNER3 | 333 UNDERWOOD HILL ROAD MURPHY, NC 28906 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.04% |
| THOMAS SNYDER3 | 9385 MILLER LANE GARDEN RIDGE, TX 78266 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $23 | — | $23 | 0.04% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN AND CO LLC | PO BOX 550823 HOUSTON, TX 77255 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 7.34% |
| KILPARICK COMPANIES LLC3 | 1050 WILCREST DRIVE HOUSTON, TX 77042 | METROPOLITAN LIFE INSURANCE COMPANY | $4K | — | $4K | 5.90% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN & CO | PO BOX 550823 HOUSTON, TX 77255 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | — | $9K | 15.00% |
| KILPATRICK COMPANIES LLC3 Filed as: KILPATRICK COMPANIES LTD | 1050 WILCREST DRIVE HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN & CO | PO BOX 550823 HOUSTON, TX 77255 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $6K | — | $6K | 15.00% |
| KILPATRICK COMPANIES LLC3 Filed as: KILPATRICK COMPANIES LTD | 1050 WILCREST DRIVE HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 5.00% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN AND CO LLC | PO BOX 550823 HOUSTON, TX 77255 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $4K | — | $4K | 14.89% |
| KILPATRICK COMPANIES LLC3 | 1050 WILCREST DRIVE HOUSTON, TX 77042 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $1K | — | $1K | 4.96% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: ELLIS BROWN & CO | 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 | — | $798 | $798 | 5.00% |
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 | 184 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 185 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MEMORIAL HERMANN HEALTH INSURANCE COMPANY | 250 | $1.1M |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 308 | $85K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 308 | $60K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 182 | $16K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 124 | $38K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 106 | $57K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 182 | $80K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 308 | — |
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.