| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORTHAM SAN ANTONIO INC3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNITEDHEALTHCARE INSURANCE COMPANY | $43K | — | $43K | 4.90% |
| EICHLITZ DENNIS WRAY & WESTHEIMER A3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 0.33% |
| 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. | $7K | $4K | $12K | 3.14% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WESTH | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $4K | $12K | 13.71% |
| WORTHAM SAN ANTONIO INC3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $8K | $5K | $13K | 16.50% |
| WORTHAM SAN ANTONIO INC3 Filed as: JOHN J MCGURRAN | 15309 N DALLAS PARKWAY #550 ADDISON, TX 75001 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $80 | — | $80 | 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 | $481 | $6K | 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 | — | $3K | 14.71% |
| VARIOUS - SEE ATTACHED3 Filed as: VARIOUS BROKERS, SEE ATTACHMENT | — | AFLAC | $2K | — | $2K | 18.60% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM INSURANCE & RISK MANAGEMENT | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | $990 | — | $990 | 9.91% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WESTHEIMER | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $137 | $2K | 19.49% |
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 | 123 | 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) | 129 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 135 | $1.3M |
| Dental(2 contracts, 2 carriers) | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 81 | $459K |
| Vision | NATIONAL GUARDIAN LIFE INSURANCE COMPANY | 138 | $10K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 129 | $123K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 129 | $85K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 129 | $85K |
| Prescription drug | GROUP HOSPITALIZATION MEDICAL SERVICES, INC. | 60 | $379K |
| Other(5 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 129 | $164K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 138 | — |
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.