| 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 78626 | HEALTH CARE SERVICE CORPORATION | $34K | $0 | $34K | 2.56% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | HEALTH CARE SERVICE CORPORATION | $15K | $0 | $15K | 1.14% |
| DAVID B APPLEWHITE3 | 23023 PLEASANTON RD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10K | $0 | $10K | 8.91% |
| HEWLETT INSURANCE GROUP LLC3 | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | $0 | $4K | 3.60% |
| JEFF A FORBES3 | 1077 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 1.91% |
| EDUARDO A SAENZ3 | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $774 | $0 | $774 | 0.67% |
| NICANDRO LOPEZ3 | 14407 ALLWOOD ST SAN ANTONIO, TX 78233 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $595 | $0 | $595 | 0.52% |
| DANIEL SOSA3 | 12530 POINT SMT SAN ANTONIO, TX 78253 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $338 | $0 | $338 | 0.29% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $296 | $0 | $296 | 0.26% |
| JESSICA QUEEN3 | 401 BEVERLY LN LEANDER, TX 78641 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $114 | $0 | $114 | 0.10% |
| JAMES T LEE INSURANCE AGENCY3 Filed as: JAMES T LEE INS AGENCY PC | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $102 | $0 | $102 | 0.09% |
| TAG BENEFITS GROUP LLC3 | 502 N MAIN ST #139 WEATHERFORD, TX 76086 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $52 | $0 | $52 | 0.05% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $10K | $0 | $10K | 8.52% |
| TEXAS AUTO DEALERS ASSOCIATION3 | ATTN CHUCK PRICE AUSTIN, TX 78701 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $3K | $3K | 2.79% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 4411 S INTERSTATE 35 STE 105 GEORGETOWN, TX 78626 | AMERITAS LIFE INSURANCE CORP | $6K | $0 | $6K | 6.68% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 76101 | AMERITAS LIFE INSURANCE CORP | $3K | $0 | $3K | 3.32% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 2850 GOLF RD FL 21 ROLLING MEADOW, IL 60008 | AMERITAS LIFE INSURANCE CORP | $0 | $1K | $1K | 1.35% |
| DAVID B APPLEWHITE3 Filed as: DAVID APPLEWHITE | 23023 PLEASANTON RD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 10.61% |
| HEWLETT INSURANCE GROUP LLC3 | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | $0 | $1K | 4.55% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $2K | $0 | $2K | 8.04% |
| TEXAS AUTO DEALERS ASSOCIATION3 | ATTN CHUCK PRICE AUSTIN, TX 78701 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $777 | $777 | 3.36% |
| DAVID B APPLEWHITE3 | 23023 PLEASANTON RD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 7.65% |
| HEWLETT INSURANCE GROUP LLC3 | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $777 | $0 | $777 | 3.62% |
| DANIEL SOSA3 | 12530 POINT SMT SAN ANTONIO, TX 78253 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $470 | $0 | $470 | 2.19% |
| JEFF A FORBES3 | 1077 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $344 | $0 | $344 | 1.60% |
| EDUARDO A SAENZ3 | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $72 | $0 | $72 | 0.34% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $48 | $0 | $48 | 0.22% |
| NICANDRO LOPEZ3 | 14407 ALLWOOD ST SAN ANTONIO, TX 78233 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $39 | $0 | $39 | 0.18% |
| DAVID B APPLEWHITE3 | 23023 PLEASANTON RD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $470 | $0 | $470 | 14.84% |
| HEWLETT INSURANCE GROUP LLC3 | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $148 | $0 | $148 | 4.67% |
| JEFF A FORBES3 | 1077 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $110 | $0 | $110 | 3.47% |
| EDUARDO A SAENZ3 | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $13 | $0 | $13 | 0.41% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8 | $0 | $8 | 0.25% |
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 | 224 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 226 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 315 | $1.3M |
| Dental | AMERITAS LIFE INSURANCE CORP | 332 | $93K |
| Vision | AMERITAS LIFE INSURANCE CORP | 332 | $93K |
| Life insurance | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 95 | $32K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 97 | $114K |
| Long-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 97 | $137K |
| Other(3 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 120 | $140K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 332 | — |
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.