| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ALLIANT INSURANCE SERVICES, INC.3 Filed as: ALLIANT INSURANCE SERVICES INC. | 3000 W MEMORIAL RD SUITE 212 OKLAHOMA CITY, OK 731206103 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $111 | $111 | 0.05% |
| CL SCOTT CORPORATE INSURANCE SVCS4 Filed as: CL SCOTT CORPORATE INSURANCE | 3600 N CAPITAL OF TEXAS HWY STE 100B AUSTIN, TX 78746 | PRE-PAID LEGAL SERVICES INC. DBA LEGAL SHIELD | $259 | $0 | $259 | 4.85% |
| JOHN H. GIVENS4 Filed as: JOHN H GIVENS | 19428 SEA ISLAND DR. PFLUGERVILLE, TX 78660 | PRE-PAID LEGAL SERVICES INC. DBA LEGAL SHIELD | $255 | $0 | $255 | 4.78% |
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 | 430 | 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) | 430 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 272 | $141K |
| Vision | SUN LIFE ASSURANCE COMPANY OF CANADA | 272 | $141K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 760 | $210K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 760 | $210K |
| Long-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 760 | $210K |
| Other(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 760 | $216K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 760 | — |
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."
No prospect flags tripped on this filing.