| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARC A GROVE3 Filed as: MARC WESLEY WILSON | — | BLUECROSS BLUESHIELD OF TEXAS | $40K | — | $40K | 2.37% |
| I.G.H. GALBRAITH LLC3 | 7021 KEWANEE AVENUE UNIT 2-102 LUBBOCK, TX 79424 | BLUECROSS BLUESHIELD OF TEXAS | $5K | — | $5K | 0.27% |
| SHAMBURGER AGENCY INC3 Filed as: SHAMBURGER AGENCY, INC. | — | BLUECROSS BLUESHIELD OF TEXAS | — | $4K | $4K | 0.26% |
| IGH GALBRAITH LLC3 Filed as: IGH GALBRAITH GROUP | — | BAYLOR SCOTT & WHITE HEALTH PLAN | $65K | — | $65K | 5.00% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN INS AGENCY | — | BAYLOR SCOTT & WHITE HEALTH PLAN | $8K | — | $8K | 0.60% |
| IGH GALBRAITH LLC3 | 7021 KEWANEE AVE UNIT 2102 LUBBOCK, TX 794247049 | METROPOLITAN LIFE INSURANCE COMPANY | $19K | — | $19K | 14.54% |
| ROSS LEE SHAMBURGER3 Filed as: ROSS SHAMBURGER | 12215 QUAKER AVE LUBBOVK, TX 794247560 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | — | $2K | 1.30% |
| I.G.H. GALBRAITH LLC3 | — | ASSURITY LIFE INSURANCE COMPANY | $18K | — | $18K | 24.55% |
| XPONENT EMPLOYER SOLUTIONS INC3 Filed as: XPONENT EMPLOYER SOLUTIONS INC. | — | ASSURITY LIFE INSURANCE COMPANY | $12K | — | $12K | 16.56% |
| ROGERS BENEFIT GROUP INC3 Filed as: ANGELA ROGERS-HESCH | — | ASSURITY LIFE INSURANCE COMPANY | $5K | — | $5K | 7.09% |
| ZACHARY GALBRAITH3 | — | ASSURITY LIFE INSURANCE COMPANY | $741 | — | $741 | 1.01% |
| WORKSITE MARKETING CONCEPTS INC3 Filed as: WORKSITE MARKETING CONCEPTS INC. | — | ASSURITY LIFE INSURANCE COMPANY | $384 | — | $384 | 0.53% |
| JANET ANTHONY3 | — | ASSURITY LIFE INSURANCE COMPANY | $384 | — | $384 | 0.53% |
| DIANE WALL, INC.3 | — | ASSURITY LIFE INSURANCE COMPANY | $27 | — | $27 | 0.04% |
| IGH GALBRAITH LLC3 Filed as: IGH GALBRAITH LLC DBA GALBRAITH | GROUP 7007 SALEM PARK DRIVE LUBBOCK, TX 79424 | DEARBORN LIFE INSURANCE COMPANY | $5K | — | $5K | 13.59% |
| XPONENT EMPLOYER SOLUTIONS INC3 | 3317 S. HIGLEY ROAD STE 117 GILBERT, AZ 85297 | DEARBORN LIFE INSURANCE COMPANY | $500 | — | $500 | 1.30% |
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 | 220 | 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) | 220 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 433 | $3.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 337 | $132K |
| Vision(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 337 | $170K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 252 | $38K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 337 | $132K |
| Other(2 contracts, 2 carriers) | ASSURITY LIFE INSURANCE COMPANY | 433 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 433 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.