| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | PO BOX 203383 DALLAS, TX 75320 | KAISER FOUNDATION HEALTH PLAN INC | $15K | — | $15K | 1.01% |
| MARK G SQUIRES3 Filed as: MARK G. SQUIRES | 645 WEST SAN ANTONIO STREET SUITE 100 NEW BRAUNFELS, TX 78130 | PRINCIPAL LIFE INSURANCE COMPANY | $113K | — | $113K | 7.95% |
| WELLS FARGO INSURANCE SERVICES3 | PO BOX 203383 DALLAS, TX 75320 | RELIASTAR LIFE INSURANCE COMPANY | $102K | — | $102K | 10.00% |
| WELLS FARGO INSURANCE SERVICES3 | 4300 MARKET POINTE DR STE 600 BLOOMINGTON, MN 55435 | RELIASTAR LIFE INSURANCE COMPANY | $19K | — | $19K | 1.88% |
| CLINTON GOTCHER3 | 109 CASA LOMA CIRCLE GEORGETOWN, TX 78633 | HUMANA INSURANCE COMPANY | $106K | — | $106K | 15.00% |
| BAFFIN BAY MARKETING GROUP, LLC3 | PO BOX 161690 AUSTIN, TX 78716 | HUMANA INSURANCE COMPANY | $57K | — | $57K | 8.00% |
| CORPORATE BENEFIT SOLUTIONS3 | 702 SOUTH DENTON TAP ROAD SUITE 100 COPPELL, TX 75019 | HUMANA INSURANCE COMPANY | $21K | — | $21K | 3.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: WELLS FARGO INSURANCE | 90 SOUTH CASCADE AVENUE, 2ND FLOOR COLORADO SPRINGS, CO 80903 | KAISER FOUNDATION HEALTH PLAN OF COLORADO | $17K | $2K | $19K | 2.76% |
| CLINTON GOTCHER3 | 109 CASA LOMA CIRCLE GEORGETOWN, TX 78633 | TRANSAMERICA | $111K | — | $111K | 23.45% |
| DENNIS M PETERSON3 Filed as: DENNIS M. PETERSON | PO BOX 1703 BOERNE, TX 78006 | TRANSAMERICA | $7K | — | $7K | 1.53% |
| ANDREW MARTIN3 Filed as: ANDREW D MARTIN | 1154 AZALIEA BEND SUGAR LAND, TX 77479 | TRANSAMERICA | $32 | — | $32 | 0.01% |
| ENTRUST AGENCIES INC3 Filed as: ENTRUST AGENCIES INC. | 22322 GRAND CORNER DRIVE, SUITE 200 KATY, TX 77494 | TRANSAMERICA | $23 | — | $23 | 0.00% |
| CLINTON GOTCHER3 | 109 CASA LOMA CIRCLE GEORGETOWN, TX 78633 | UNION SECURITY INSURANCE COMPANY | $73K | — | $73K | 31.76% |
| CLINTON GOTCHER3 | 109 CASA LOMA CIRCLE GEORGETOWN, TX 78633 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $163 | — | $163 | 11.98% |
| BAFFIN BAY MARKETING GROUP, LLC3 | PO BOX 161690 AUSTIN, TX 78716 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $41 | — | $41 | 3.01% |
| CORPORATE BENEFIT SOLUTIONS3 | 702 SOUTH DENTON TAP ROAD SUITE 100 COPPELL, TX 75019 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $14 | — | $14 | 1.03% |
| ASPEN REINSURANCE GROUP, INC.3 | 6900 SOUTH MCCARRAN BOUEVARD SUITE 1010 RENO, NV 89509 | NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA | $14 | — | $14 | 1.03% |
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 | 4,036 | 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) | 4,036 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 5 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 2,446 | $3.4M |
| Vision | EYEMED VISION CARE | 9,935 | $507K |
| Life insurance | RELIASTAR LIFE INSURANCE COMPANY | 4,533 | $1.0M |
| Short-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,609 | $1.4M |
| Long-term disability | PRINCIPAL LIFE INSURANCE COMPANY | 1,609 | $1.4M |
| Prescription drug(2 contracts, 2 carriers) | KAISER FOUNDATION HEALTH PLAN INC | 319 | $2.2M |
| Other(6 contracts, 6 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 4,533 | $3.9M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 9,935 | — |
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.