| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORTHAM SAN ANTONIO INC3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNITEDHEALTHCARE INSURANCE COMPANY | $41K | — | $41K | 4.46% |
| EICHLITZ DENNIS WRAY & WESTHEIMER A3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | — | $4K | 0.39% |
| M T DONAHOE & ASSOCIATES INC3 Filed as: M.T. DONAHOE & ASSOCIATES | 9755 PATUXENT WOODS DRIVE SUITE 250 COLUMBIA, MD 21046 | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | $8K | $9K | $17K | 4.86% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WESTH | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $1K | $9K | 10.31% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WESTH | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $1K | $9K | 10.31% |
| ASSUREX3 | 175 S THIRD ST STE 800 COLUMBUS, OH 43215 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | — | $0 | 0.00% |
| WORTHAM SAN ANTONIO INC3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | — | $8K | 10.00% |
| WORTHAM SAN ANTONIO INC3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | — | $4K | $4K | 5.39% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN J MCGURRAN | — | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $76 | — | $76 | 0.10% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WESTH | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $504 | $7K | 16.25% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WESTH | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | $102 | $3K | 15.53% |
| SHELLY WIEGAND3 | 2607 ARMATRADING DR LUBBOCK, TX 79490 | AFLAC | $245 | — | $245 | 1.73% |
| JACQUELINE E MEIN DICKINSON3 | 16609 MALAGA HILLS DR ROUND ROCK, TX 78681 | AFLAC | $239 | — | $239 | 1.69% |
| JENNIFER LOWE3 | 502 MOONLIGHT CIR NEW BRAUNFELS, TX 78132 | AFLAC | $135 | — | $135 | 0.95% |
| JERRY A CALLAHAN3 | 2750 WHISPER CT DOUGLASVILLE, GA 30135 | AFLAC | $122 | — | $122 | 0.86% |
| JENNIFER L VERHAEGHE3 | 1094 LINCOLN LN APT 104 BILLING, MT 59105 | AFLAC | $118 | — | $118 | 0.83% |
| TIMOTHY W POWERS3 Filed as: TIMOTHY J HELMAN | 2550 STONEHAVEN DR SUN PRAIRIE, WI 53590 | AFLAC | $99 | — | $99 | 0.70% |
| DAVID C CLARK3 | 4780 THREE CHOPT RD LOUISA, VA 23093 | AFLAC | $94 | — | $94 | 0.66% |
| RICHARD MOSELEY JR3 Filed as: RICHARD L MOSELY JR | 10206 N HAMPTON LANE FREDERICKSBURG, VA 22408 | AFLAC | $93 | — | $93 | 0.66% |
| MICHAEL G OHM3 | 7556 CROSS GATE LN ALEXANDRIA, VA 22315 | AFLAC | $55 | — | $55 | 0.39% |
| FRANK D LAFEMINA3 | 165 S GUADALUPE ST STE 120 SAN MARCOS, TX 78666 | AFLAC | $53 | — | $53 | 0.37% |
| DAVID W HARLESS3 | 3412 MANOR GROVE CIRCLE GLEN ALLEN, VA 23059 | AFLAC | $46 | — | $46 | 0.33% |
| LISSET ANGELA KANAK3 | 892 FM 1209 BASTROP, TX 78602 | AFLAC | $41 | — | $41 | 0.29% |
| PAUL M MCGAUGHAN3 | 2100 VAN HORN CV CEDAR PARK, TX 78613 | AFLAC | $32 | — | $32 | 0.23% |
| DENISE F BEAMAN3 | 2 EDITH DRIVE JACKSONVILLE, NC 28540 | AFLAC | $30 | — | $30 | 0.21% |
| CHRISTOPHER PARSONS3 | 4370 SADDLE CT EARLYSVILLE, VA 22936 | AFLAC | $26 | — | $26 | 0.18% |
| DUANE A ADAMS3 | 11520 NUCKOLS RD STE 103 GLEN ALLEN, VA 23059 | AFLAC | $25 | — | $25 | 0.18% |
| AMANDA HELMAN3 Filed as: AMANDA J HELMAN | 2550 STONEHAVEN DR SUN PRAIRIE, WI 53590 | AFLAC | $24 | — | $24 | 0.17% |
| STEPHANIE DENISE GARLAND3 | 110 N INTERSTATE 35 STE 315 ROUND ROCK, TX 78681 | AFLAC | $19 | — | $19 | 0.13% |
| MICHAEL FATHERREE3 | 11876 MOORHEN CIR FORT WORTH, TX 76244 | AFLAC | $19 | — | $19 | 0.13% |
| LEANN POTTER3 | 445 CANYON DR MESQUITE, NV 89027 | AFLAC | $16 | — | $16 | 0.11% |
| KEVIN F WARD3 | 12632 DOUBLE EAGLE DR CARMEL, IN 46033 | AFLAC | $15 | — | $15 | 0.11% |
| BARBARA BAROS3 | 5301 GOSHEN CT CORPUS CHRISTI, TX 78413 | AFLAC | $11 | — | $11 | 0.08% |
| NAVILLE & ASSOCIATES3 | 14220 OVERBROOK DR CARMEL, IN 46074 | AFLAC | $11 | — | $11 | 0.08% |
| GREGORY J WEEKS3 | 1259 LOOP 337 2ND FL NEW BRAUNFELS, TX 78130 | AFLAC | $8 | — | $8 | 0.06% |
| JAMES A SCOTT & SON INC3 Filed as: JAMES R HILL SR | 9701 GAYTON RD STE 6 RICHMOND, VA 23238 | AFLAC | $5 | — | $5 | 0.04% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM INSURANCE & RISK MANAGEMENT | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $882 | — | $882 | 9.87% |
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 | 126 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 154 | $1.3M |
| Dental(2 contracts, 2 carriers) | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 83 | $426K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 134 | $9K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 124 | $129K |
| Short-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 124 | $178K |
| Long-term disability(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 124 | $178K |
| Prescription drug | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 76 | $349K |
| Other(5 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 124 | $252K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 154 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.