| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BEV CAP MANAGEMENT LLC3 Filed as: BEV CAP MANAGEMENT INSURANCE AGENCY | 120 W VIRGINIA ST STE 200 MCKINNEY, TX 750694496 | BLUECROSS BLUESHIELD OF TEXAS | $30K | — | $30K | 9.17% |
| BEV CAP MANAGEMENT LLC3 Filed as: BEV CAP MANAGEMENT INSURANCE AGENCY | 120 W VIRGINIA ST STE 200 MCKINNEY, TX 750694496 | VISION SERVICE PLAN | $11K | — | $11K | 15.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BOON CHAPMAN, LTD EIN 74-2305238 THIRD PARTY ADMINISTRATOR | Claims processing Service code 12 | — | $202K |
| BEVCAP MANAGEMENT EIN 26-1870141 BROKER OF RECORD | Insurance brokerage commissions and fees Service code 53 | — | $184K |
| CORNERSTONE RISK SOLUTIONS EIN 20-2557329 CO-BROKER/CONSULTANT | Insurance brokerage commissions and fees Service code 53 | — | $102K |
| CAPITOL HEALTHCARE REVIEW, INC EIN 74-2623559 MEDICAL REVIEW | Contract Administrator Service code 13 | — | $61K |
| BEVCAP HEALTH PROTECTED CELL EIN 46-3894672 CAPTIVE ADMINISTRATOR | Contract Administrator Service code 13 | — | $43K |
| RETRO HEALTH, LLC EIN 81-3275426 SAFETY TRAINING | Consulting (general) Service code 16 | — | $36K |
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 | 956 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 956 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 956 | $327K |
| Vision | VISION SERVICE PLAN | 449 | $73K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 172 | $14K |
| Stop-loss / reinsurancereinsurance | BERKLEY LIFE AND HEALTH INSURANCE CO | 809 | $827K |
| Other | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 172 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 956 | — |
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.