| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY, INC. | 500 WEST 13TH STREET FORT WORTH, TX 76102 | BLUECROSS BLUESHIELD OF TEXAS | $45K | $0 | $45K | 2.33% |
| LOCKTON COMPANIES, LLC3 | 2100 ROSS AVENUE, SUITE 1200 DALLAS, TX 75201 | BLUECROSS BLUESHIELD OF TEXAS | $15K | $0 | $15K | 0.78% |
| TEXAS AUTO DEALERS ASSOCIATION3 | UNKNOWN AUSTIN, TX 78701 | AMERICAN FIDELITY ASSURANCE COMPANY | $0 | $5K | $5K | 2.78% |
| DAVID B APPLEWHITE3 Filed as: DAVID B. APPLEWHITE | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9K | $0 | $9K | 9.27% |
| JEFF A FORBES3 Filed as: JEFF A. FORBES | 1007 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6K | $0 | $6K | 6.00% |
| EDUARDO A SAENZ3 Filed as: EDUARDO A. SAENZ | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $683 | $0 | $683 | 0.71% |
| NICANDRO LOPEZ3 | 14407 ALLWOOD STREET SAN ANTONIO, TX 78233 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $407 | $0 | $407 | 0.42% |
| DANIEL SOSA3 | 12530 POINT SUMMIT SAN ANTONIO, TX 78253 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $174 | $0 | $174 | 0.18% |
| MJ INSURANCE3 Filed as: OSCAR MUNOZ AND VARIOUS AGENTS | 1909 SANTA MARIA AVENUE LAREDO, TX 78040 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $168 | $0 | $168 | 0.17% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH STREET SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $162 | $0 | $162 | 0.17% |
| JEFF A FORBES3 Filed as: JEFF FORBES | 1007 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4K | $0 | $4K | 11.06% |
| HEWLETT INSURANCE GROUP LLC3 Filed as: HEWLETT INSURANCE GROUP, LLC | PO BOX 249 GEORGETOWN, TX 78627 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.74% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY, INC. | 500 WEST 13TH STREET FORT WORTH, TX 76102 | AMERITAS LIFE INSURANCE CORPORATION | $1K | $0 | $1K | 6.62% |
| DAVID B APPLEWHITE3 Filed as: DAVID B. APPLEWHITE | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $947 | $0 | $947 | 5.05% |
| JEFF A FORBES3 Filed as: JEFF FORBES | 1007 BLOOMDALE LAS CRUCES, NM 88005 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $301 | $0 | $301 | 1.60% |
| DANIEL SOSA3 | 12530 POINT SUMMIT SAN ANTONIO, TX 78253 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $273 | $0 | $273 | 1.45% |
| EDUARDO A SAENZ3 Filed as: EDUARDO A. SAENZ | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $235 | $0 | $235 | 1.25% |
| JORGE MONTALVO3 | 12124 WHITE BIRCH STREET SAN ANTONIO, TX 78245 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $38 | $0 | $38 | 0.20% |
| ROGELIO R. ESPARZA3 | 1314 SOUTH A STREET HARLINGEN, TX 78550 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $37 | $0 | $37 | 0.20% |
| NICANDRO LOPEZ3 | 14407 ALLWOOD STREET SAN ANTONIO, TX 78233 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $22 | $0 | $22 | 0.12% |
| DAVID B APPLEWHITE3 Filed as: DAVID B. APPLEWHITE | 23023 PLEASANTON ROAD SAN ANTONIO, TX 78264 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $95 | $0 | $95 | 13.21% |
| EDUARDO A SAENZ3 Filed as: EDUARDO A. SAENZ | PO BOX 186 SAN ISIDRO, TX 78588 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2 | $0 | $2 | 0.28% |
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 | 197 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 301 | $1.9M |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 301 | $1.9M |
| Vision | AMERITAS LIFE INSURANCE CORPORATION | 358 | $19K |
| Life insurance(2 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 104 | $131K |
| Short-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 147 | $189K |
| Long-term disability | AMERICAN FIDELITY ASSURANCE COMPANY | 147 | $189K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 301 | $1.9M |
| Other(4 contracts) | AMERICAN HERITAGE LIFE INSURANCE COMPANY | 104 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 358 | — |
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.