| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 761010908 | HEALTH CARE SERVICE CORPORATION | $53K | $2K | $55K | 2.98% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLAHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $8K | $4K | $12K | 7.66% |
| TEXAS AUTO DEALERS ASSOCIATION3 | ATTN CHUCK PRICE AUSTIN, TX 78701 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $44 | $44 | 0.03% |
| DAVID B APPLEWHITE3 Filed as: DAVID APPLEWHITE | 23023 PLEASANTON RD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6K | $0 | $6K | 6.07% |
| HEWLETT INSURANCE GROUP LLC3 | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | $0 | $3K | 2.41% |
| EDUARDO A SAENZ3 | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $916 | $0 | $916 | 0.86% |
| JEFF A FORBES3 | 1007 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $484 | $0 | $484 | 0.45% |
| NICANDRO LOPEZ3 | 14407 ALLWOOD ST SAN ANTONIO, TX 78233 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $463 | $0 | $463 | 0.43% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $234 | $0 | $234 | 0.22% |
| DANIEL SOSA3 | 12530 POINT SMT SAN ANTONIO, TX 78253 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $221 | $0 | $221 | 0.21% |
| KNAPP INSURANCE SERVICES INC3 | 1600 N EXPRESSWAY 77/83 BROWNSVILLE, TX 78521 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $164 | $0 | $164 | 0.15% |
| WILLIAM ANDERSON3 | 1750 SANTA FE TRAIL SAN ANTONIO, TX 78232 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $143 | $0 | $143 | 0.13% |
| HERNANDO OSCAR MUNOZ3 | 1909 SANTA MARIA AVE LAREDO, TX 78040 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $64 | $0 | $64 | 0.06% |
| JAMES T LEE INSURANCE AGENCY3 Filed as: JAMES T LEE INSURANCE AGENCY PC | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $62 | $0 | $62 | 0.06% |
| JESSICA QUEEN3 | 401 BEVERLY LN LEANDER, TX 78641 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $44 | $0 | $44 | 0.04% |
| NBI & ASSOCIATES LLC3 | 240 E RENFRO ST BURLESON, TX 76028 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $32 | $0 | $32 | 0.03% |
| RAMIRO PICHARDO3 | 375 COUNTY ROAD 214 CAMERON, TX 76520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $21 | $0 | $21 | 0.02% |
| BBR & ASSOCIATES GROUP LLC3 | 8820 WILL CLAYTON PKWY STE F HUMBLE, TX 77338 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11 | $0 | $11 | 0.01% |
| HEWLETT INSURANCE GROUP LLC3 | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.36% |
| JEFF A FORBES3 Filed as: JEFF FORBES | 1007 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.01% |
| ASSURANCE AGENCY LTD3 Filed as: AMERICAN FIDELITY ASSURANCE COMPANY | PO BOX 25360 OKLHOMA CITY, OK 73125 | AMERICAN FIDELITY ASSURANCE COMPANY | $4K | $1K | $5K | 16.17% |
| TEXAS AUTO DEALERS ASSOCIATION3 | ATTN CHUCK PRICE AUSTIN, TX 78701 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $13 | $13 | 0.04% |
| DAVID B APPLEWHITE3 | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $946 | $0 | $946 | 4.18% |
| HEWLETT INSURANCE GROUP LLC3 | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $489 | $0 | $489 | 2.16% |
| DANIEL SOSA3 | 12530 POINT SMT SAN ANTONIO, TX 78253 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $367 | $0 | $367 | 1.62% |
| EDUARDO A SAENZ3 | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $216 | $0 | $216 | 0.96% |
| JEFF A FORBES3 | 1007 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $80 | $0 | $80 | 0.35% |
| ROGELIO R. ESPARZA3 Filed as: ROGELIO R ESPARZA | 1314 S A STREET HARLINGEN, TX 78550 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $59 | $0 | $59 | 0.26% |
| KNAPP INSURANCE SERVICES INC3 | 1600 N EXPRESSWAY 77/83 BROWNSVILLE, TX 78521 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $48 | $0 | $48 | 0.21% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $44 | $0 | $44 | 0.19% |
| NICANDRO LOPEZ3 | 14407 ALLWOOD ST SAN ANTONIO, TX 78233 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $42 | $0 | $42 | 0.19% |
| RAMIRO PICHARDO3 | 375 COUNTY ROAD 214 CAMERON, TX 76520 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | $0 | $12 | 0.05% |
| HIGGINBOTHAM INS AGENCY INC3 | PO BOX 908 FORT WORTH, TX 761010908 | AMERITAS LIFE INSURANCE CORP | $2K | $0 | $2K | 10.00% |
| DAVID B APPLEWHITE3 | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $132 | $0 | $132 | 6.77% |
| HEWLETT INSURANCE GROUP LLC3 | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $45 | $0 | $45 | 2.31% |
| EDUARDO A SAENZ3 Filed as: EDUARDO SAENZ | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11 | $0 | $11 | 0.56% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH ST SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | $0 | $6 | 0.31% |
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 | 299 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 302 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 299 | $1.8M |
| Dental | HEALTH CARE SERVICE CORPORATION | 299 | $1.8M |
| Vision | AMERITAS LIFE INSURANCE CORP | 336 | $19K |
| Life insurance | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 83 | $48K |
| Short-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 113 | $188K |
| Long-term disability(2 contracts) | AMERICAN FIDELITY ASSURANCE COMPANY | 113 | $188K |
| Other(4 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 104 | $179K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 336 | — |
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."
No prospect flags tripped on this filing.