| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TIA GROUP, LLC3 | 8000 WEST INTERSTATE 10, SUITE 950 SAN ANTONIO, TX 78230 | BLUECROSS BLUESHIELD OF TEXAS | $45K | $1K | $46K | 4.76% |
| TIA GROUP, LLC3 | 8000 WEST INTERSTATE 10, SUITE 950 SAN ANTONIO, TX 78230 | METROPOLITAN LIFE INSURANCE COMPANY | $16K | $0 | $16K | 22.32% |
| TIA GROUP, LLC3 | 8000 WEST INTERSTATE 10, SUITE 950 SAN ANTONIO, TX 78230 | HUMANA INSURANCE COMPANY | $6K | $0 | $6K | 9.70% |
| ROBERT J HUMPHREY3 Filed as: ROBERT J. HUMPHREY | 16142 HIDALGO STREET CONROE, TX 77303 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 9.16% |
| RICHARD SCHWAGER3 | 2210 VILLAGE DALE AVENUE HOUSTON, TX 77059 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $522 | $101 | $623 | 3.69% |
| HONORIO GUILLERMO AQUINO3 | 2802 CARLA DRIVE ROWLETT, TX 75088 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $236 | $0 | $236 | 1.40% |
| DARIN POTTS3 | 100 DETERING STREET, SUITE 2128 HOUSTON, TX 77007 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $80 | $111 | $191 | 1.13% |
| KENNETH B BOYLES3 Filed as: KENNETH B. BOYLES | 28918 TWISTED OAK DRIVE SHENANDOAH, TX 77381 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $175 | $1 | $176 | 1.04% |
| JOHN ROE3 | 1303 FM 180 LEDBETTER, TX 78946 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $106 | $0 | $106 | 0.63% |
| BRUCE D AKERS3 Filed as: BRUCE D. AKERS | 2383 CALYPSO LANE LEAGUE CITY, TX 77573 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $9 | $0 | $9 | 0.05% |
| ROBERT J HUMPHREY3 Filed as: ROBERT J. HUMPHREY | 16142 HIDALGO STREET CONROE, TX 77303 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $907 | $0 | $907 | 6.19% |
| RICHARD SCHWAGER3 | 2210 VILLAGE DALE AVENUE HOUSTON, TX 77059 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $225 | $43 | $268 | 1.83% |
| HONORIO GUILLERMO AQUINO3 | 2802 CARLA DRIVE ROWLETT, TX 75088 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $193 | $0 | $193 | 1.32% |
| KENNETH B BOYLES3 Filed as: KENNETH B. BOYLES | 28918 TWISTED OAK DRIVE SHENANDOAH, TX 77381 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $116 | $1 | $117 | 0.80% |
| DARIN POTTS3 | 100 DETERING STREET, SUITE 2128 HOUSTON, TX 77007 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $34 | $47 | $81 | 0.55% |
| MJ INSURANCE3 Filed as: JOHN ROE AND VARIOUS AGENTS | 1303 FM 180 LEDBETTER, TX 78946 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $76 | $0 | $76 | 0.52% |
| LEROY PHELPS3 | 102 BENT TREE DRIVE BOERNE, TX 78006 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $53 | $0 | $53 | 0.36% |
| TIA GROUP, LLC3 | 8000 WEST INTERSTATE 10, SUITE 950 SAN ANTONIO, TX 78230 | DENTICARE, INC. | $401 | $0 | $401 | 9.99% |
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 | 116 | 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) | 117 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 207 | $976K |
| Dental(2 contracts, 2 carriers) | HUMANA INSURANCE COMPANY | 110 | $68K |
| Vision | HUMANA INSURANCE COMPANY | 110 | $64K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 233 | $69K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 233 | $69K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 233 | $69K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 207 | $976K |
| Other(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 233 | $101K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 233 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.