| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ENROLLEASE3 Filed as: DIGITAL INSURANCE INC-GA | 200 GALLERIA PARKWAY SUITE 1950 ATLANTA, GA 30339 | HUMANA HEALTH PLAN OF TEXAS, INC | $4K | $0 | $4K | 0.59% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: ADAMS INSURANCE SERVICE | 427 WEST 20TH STREET SUITE 500 HOUSTON, TX 77008 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $0 | $5K | 10.00% |
| WEALTH DESIGN GROUP, LLC3 Filed as: WEALTH DESIGN GROUP LLC | 3040 POST OAK BLVD STE 400 HOUSTON, TX 77056 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $23 | $0 | $23 | 0.05% |
| CROWN RISK MANAGEMENT, LLC3 Filed as: ADAMS INSURANCE SERVICE | P.O. BOX 7011 HOUSTON, TX 77248 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 13.34% |
| CARTER BENEFITS SOLUTIONS LLC3 Filed as: CARTER BENEFITS SOLUTIONS | 22411 WILDWOOD GROVE DRIVE KATY, TX 77494 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $5 | $2K | 12.20% |
| STACEY D KELLEN3 | 22411 WILDWOOD GROVE DRIVE KATY, TX 77450 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $83 | $2K | 9.90% |
| VISICOR INC3 | 2500 CITY WEST BLVD SUITE 2400 HOUSTON, TX 77042 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $744 | $27 | $771 | 4.24% |
| DARIN POTTS3 | 510 BERING DRIVE HOUSTON, TX 77057 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $302 | $156 | $458 | 2.52% |
| VERA ANN PAREDES3 | P.O. BOX 1283 PASADENA, TX 77501 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $370 | $63 | $433 | 2.38% |
| DONALD GRANT JAMES3 | 2706 TAMPA STREET FRIENDSWOOD, TX 77548 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $123 | $16 | $139 | 0.76% |
| JOSHUA ROARK3 | 700 COBIA DRIVE KATY, TX 77494 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $50 | $0 | $50 | 0.28% |
| VICKIE SUSAN ELIZARDO3 | 4008 VISTA SUITE C101 PASADENA, TX 77504 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $11 | $0 | $11 | 0.06% |
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 | 130 | 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) | 130 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HUMANA HEALTH PLAN OF TEXAS, INC | 130 | $619K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 103 | $46K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 103 | $46K |
| Prescription drug | HUMANA HEALTH PLAN OF TEXAS, INC | 130 | $619K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 32 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 130 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.