| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 3600 N CAPITAL OF TEXAS HWY SUITE 200B AUSTIN, TX 787463210 | BLUE CROSS BLUE SHIELD OF TEXAS | $55K | $0 | $55K | 4.62% |
| MESIROW INSURANCE SERVICES INC3 Filed as: MESIROW INSURANCE SERVIES, INC. | 353 CLARK STREET CHICAGO, IL 60654 | BLUE CROSS BLUE SHIELD OF TEXAS | $0 | $3K | $3K | 0.28% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 3600 NORTH CAPITAL OF TEXAS HWY SUITE B200 AUSTIN, TX 787463210 | AMERITAS LIFE INSURANCE CORP. | $7K | $0 | $7K | 10.00% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 9 RIVER PARK PLACE EAST 3RD FLOOR, PO BOX 28932 FRESNO, CA 937298932 | AMERITAS LIFE INSURANCE CORP. | $0 | $533 | $533 | 0.77% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 3600 N CAPITAL OF TEXAS HWY BUILDING B, SUITE 200 AUSTIN, TX 78746 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 19.97% |
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 3600 N CAPITAL OF TEXAS HWY #B200 AUSTIN, TX 78746 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 15.00% |
| KACY LAVENDER4 Filed as: KACY K LAVENDER | 307 SPRING CRK MOODY, TX 76557 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $336 | $0 | $336 | 10.81% |
| CL SCOTT CORPORATE INSURANCE SVCS4 Filed as: CL SCOTT CORPORATE INSURANCE | 3600 NORTH CAPITAL OF TEXAS HWY SUITE B100 AUSTIN, TX 78746 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $259 | $0 | $259 | 8.33% |
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 | 148 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 154 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 203 | $1.2M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 316 | $70K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 316 | $70K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 148 | $38K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 148 | $19K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 148 | $25K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF TEXAS | 203 | $1.2M |
| Other(4 contracts, 3 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 148 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 316 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.