| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 4411 S INTERSTATE 35, STE 105 GEORGETOWN, TX 786267622 | BLUE CROSS BLUE SHIELD OF TEXAS | $38K | — | $38K | 3.20% |
| DAVID B APPLEWHITE3 Filed as: DAVID B. APPLEWHITE | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8K | — | $8K | 7.74% |
| HEWLETT INSURANCE GROUP LLC3 Filed as: HEWLETT INSURANCE GROUP, LLC | P.O. BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | — | $4K | 4.51% |
| JESSICA QUEEN3 | 401 BEVERLY LN LEANDER, TX 78641 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $947 | — | $947 | 0.96% |
| JEFF A FORBES3 | 1077 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $831 | — | $831 | 0.84% |
| DANIEL SOSA3 | 714 GROVE BEND SAN ANTONIO, TX 78253 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $717 | — | $717 | 0.72% |
| NICANDRO LOPEZ3 | 14407 ALLWOOD ST SAN ANTONIO, TX 78233 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $603 | — | $603 | 0.61% |
| JAMES T LEE INSURANCE AGENCY3 Filed as: JAMES T LEE INS AGENCY PC | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $517 | — | $517 | 0.52% |
| EDUARDO A SAENZ3 | P.O. BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $447 | — | $447 | 0.45% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $291 | — | $291 | 0.29% |
| TAG BENEFITS GROUP LLC3 | 502 N MAIN ST #139 WEATHERFORD, TX 76086 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $176 | — | $176 | 0.18% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $6K | — | $6K | 7.21% |
| TEXAS AUTO DEALERS ASSOCIATION4 | ATTN CHUCK PRICE AUSTIN, TX 78701 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $3K | $3K | 2.90% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 4411 S INTERSTATE 35, STE 105 GEORGETOWN, TX 786267622 | AMERITAS LIFE INSURANCE CORP | $7K | — | $7K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 50 BRAINTREE HILL OFFICE PARK, STE BRAINTREE, MA 021848724 | AMERITAS LIFE INSURANCE CORP | — | $1K | $1K | 1.69% |
| DAVID B APPLEWHITE3 Filed as: DAVID B. APPLEWHITE | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 10.37% |
| HEWLETT INSURANCE GROUP LLC3 Filed as: HEWLETT INSURANCE GROUP, LLC | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 4.45% |
| DAVID B APPLEWHITE3 Filed as: DAVID B. APPLEWHITE | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 7.67% |
| DANIEL SOSA3 | 714 GROVE BEND SAN ANTONIO, TX 78253 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 6.41% |
| HEWLETT INSURANCE GROUP LLC3 Filed as: HEWLETT INSURANCE GROUP, LLC | P. O. BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 6.13% |
| JEFF A FORBES3 | 1077 BLOOMDALE LAS CRUCES, NM 88055 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $88 | — | $88 | 0.40% |
| EDUARDO A SAENZ3 | P. O. BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $76 | — | $76 | 0.34% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $54 | — | $54 | 0.24% |
| NICANDRO LOPEZ3 | 14407 ALLWOOD ST SAN ANTONIO, TX 78233 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $36 | — | $36 | 0.16% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 731250360 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | — | $2K | 9.06% |
| TEXAS AUTO DEALERS ASSOCIATION4 | ATTN CHUCK PRICE AUSTIN, TX 78701 | AMERICAN FIDELITY ASSURANCE COMPANY | — | $612 | $612 | 3.03% |
| DAVID B APPLEWHITE3 Filed as: DAVID B. APPLEWHITE | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $186 | — | $186 | 9.35% |
| HEWLETT INSURANCE GROUP LLC3 Filed as: HEWLETT INSURANCE GROUP, LLC | P. O. BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $69 | — | $69 | 3.47% |
| JEFF A FORBES3 | 1077 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $28 | — | $28 | 1.41% |
| EDUARDO A SAENZ3 | P.O. BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11 | — | $11 | 0.55% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7 | — | $7 | 0.35% |
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 | 206 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 206 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(4 contracts, 2 carriers) | BLUE CROSS BLUE SHIELD OF TEXAS | 305 | $1.3M |
| Dental | AMERITAS LIFE INSURANCE CORP | 314 | $74K |
| Vision | AMERITAS LIFE INSURANCE CORP | 314 | $74K |
| Life insurance | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 86 | $27K |
| Long-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 80 | $110K |
| Other(4 contracts, 2 carriers) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 104 | $213K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 314 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.