| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM SAN ANTONIO INC. | 131 INTERPARK BLVD SAN ANTONIO, TX 78213 | UNION SECURITY INSURANCE COMPANY | — | $711 | $711 | 0.16% |
| TOTAL BENEFIT SOLUTIONS3 | 8008 SLIDE ROAD STE 14 LUBBOCK, TX 79424 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $52K | — | $52K | 18.88% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY, &WESTH | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $8K | $506 | $9K | 3.13% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCY INC. | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $5K | $5K | 1.66% |
| TOTAL BENEFITS SOLUTIONS LLC3 Filed as: TOTAL BENEFITS SOLUTIONS | 8008 SLIDE ROAD STE 14 LUBBOCK, TX 79424 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $23K | — | $23K | 18.38% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WESTH | 131 INTERPARK BLVD SAN ANTONIO, TN 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | $391 | $7K | 5.26% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCY INC. | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $2K | $2K | 1.65% |
| TOTAL BENEFIT SOLUTIONS3 | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $9K | — | $9K | 9.58% |
| ALLEN, CANNON, EDWARD3 | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $73 | $1K | 1.40% |
| TOTAL BENEFIT SOLUTIONS3 | 8008 SLIDE ROAD STE 14 LUBBOCK, TX 79424 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $30 | $1K | 1.21% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCY INC. | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | — | $493 | $493 | 0.50% |
| TOTAL BENEFIT SOLUTIONS3 Filed as: TOTAL BENEFIT SOULTIONS | 8008 SLIDE ROAD SUITE 14 LUBBOCK, TX 79424 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $7K | $1K | $9K | 11.42% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM SAN ANTIONIO, INC. | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | THE LINCOLN NATIONAL LIFE INSURANCE CO | $614 | — | $614 | 0.82% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHHAM SAN ANTONIO INC. | 131 INTERPARK BLVD SAN ANTONIO, TX 78213 | UNITED DENTAL CARE OF TEXAS, INC | — | $31 | $31 | 0.15% |
| TOTAL BENEFIT SOLUTIONS3 | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 24.82% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WESTHEIMER | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $144 | $2K | 11.55% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGNECY INC. | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | $501 | $501 | 3.19% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: THE NEW ENGLAND | 11225 N COMMUNITY HOUSE ROAD CHARLOTTE, NC 28277 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $331 | — | $331 | 4.85% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 221 W 6TH ST STE 1980 AUSTIN, TX 78701 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $159 | — | $159 | 3.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC. | 8144 WALNUT HILL LN STE 1600 DALLAS, TX 75231 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $127 | — | $127 | 2.41% |
| TRICERION GROUP, LLC3 Filed as: TRICERION GROUP LLC | 3650 MANSELL ROAD STE 100 ALPHARETTA, GA 30022 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $127 | — | $127 | 2.41% |
| WORTHAM SAN ANTONIO INC3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78213 | UNITED DENTAL CARE OF COLORADO, INC | — | $2 | $2 | 0.19% |
| ALLEN, CANNON, EDWARD3 | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | FIRST UNUM LIFE INSURANCE COMPANY | $74 | — | $74 | 64.35% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCY INC. | 7412 UNIVERSITY AVE UNIT 1 LUBBOCK, TX 79423 | FIRST UNUM LIFE INSURANCE COMPANY | — | $6 | $6 | 5.22% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| UNITED HEALTHCARE SERVICES, INC. EIN 41-1289245 CLAIMS PROCESSOR | Claims processing; Other services Service code 12 | — | $575K |
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 | 1,452 | 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) | 1,452 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED BEHAVIORAL HEALTH DBA OPTUM | 1,125 | $10K |
| Dental(4 contracts, 4 carriers) | UNION SECURITY INSURANCE COMPANY | 756 | $459K |
| Vision | UNITED HEALTHCARE INSURANCE COMPANY | 1,452 | $848K |
| Life insurance(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,132 | $373K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 445 | $98K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 394 | $126K |
| Stop-loss / reinsurancereinsurance | UNITED HEALTHCARE INSURANCE COMPANY | 1,452 | $848K |
| Other(7 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,132 | $476K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,452 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.