| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM SAN ANTONIO INC. | 131 INTERPARK BOULEVARD SAN ANTONIO, TX 78213 | UNION SECURITY INSURANCE COMPANY | $0 | $711 | $711 | 0.16% |
| TOTAL BENEFIT SOLUTIONS3 | 8008 SLIDE ROAD, SUITE 14 LUBBOCK, TX 79424 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $75K | $0 | $75K | 18.02% |
| EICHLITZ DENNIS WRAY & WESTHEIMER3 Filed as: EICHLITZ, DENNIS, WRAY & WEST | 131 INTERPARK BOULEVARD SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $16K | $1K | $17K | 4.09% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCY INC. | 7412 UNIVERSITY AVENUE, UNIT 1 LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $7K | $7K | 1.72% |
| TOTAL BENEFIT SOLUTIONS3 | 7412 UNIVERSITY AVENUE, UNIT 1 LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $0 | $4K | 0.93% |
| TOTAL BENEFIT SOLUTIONS3 | 7412 UNIVERSITY AVENUE, UNIT 1 LUBBOCK, TX 79423 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $9K | $0 | $9K | 8.53% |
| ALLEN, CANNON, EDWARD3 | 7412 UNIVERSITY AVENUE, UNIT 1 LUBBOCK, TX 79423 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $73 | $1K | 1.25% |
| TOTAL BENEFIT SOLUTIONS3 | 8008 SLIDE ROAD, SUITE 14 LUBBOCK, TX 79424 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $30 | $1K | 1.07% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCY INC. | 7412 UNIVERSITY AVENUE, UNIT 1 LUBBOCK, TX 79423 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $0 | $493 | $493 | 0.45% |
| NEW ENGLAND EMPLOYEE BENEFITS CO3 Filed as: THE NEW ENGLAND | 11225 NORTH COMMUNITY HOUSE ROAD CHARLOTTE, NC 28277 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $331 | $0 | $331 | 0.30% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 221 WEST 6TH STREET, SUITE 1980 AUSTIN, TX 78701 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $159 | $0 | $159 | 0.14% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 8144 WALNUT HILL LANE, SUITE 1600 DALLAS, TX 75231 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $127 | $0 | $127 | 0.11% |
| TRICERION GROUP, LLC3 Filed as: TRICERION GROUP LLC | 3650 MANSELL ROAD, SUITE 100 ALPHARETTA, GA 30022 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $127 | $0 | $127 | 0.11% |
| TOTAL BENEFIT SOLUTIONS3 | 8008 SLIDE ROAD, SUITE 14 LUBBOCK, TX 79424 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $1K | $9K | 11.42% |
| WORTHAM SAN ANTONIO INC3 | 7412 UNIVERSITY AVENUE, UNIT 1 LUBBOCK, TX 79423 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $614 | $0 | $614 | 0.82% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM SAN ANTONIO INC. | 131 INTERPARK BOULEVARD SAN ANTONIO, TX 78213 | UNITED DENTAL CARE OF TEXAS INC | $0 | $31 | $31 | 0.15% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM SAN ANTONIO INC. | 131 INTERPARK BOULEVARD SAN ANTONIO, TX 78213 | UNITED DENTAL CARE OF COLORADO INC | $0 | $2 | $2 | 0.19% |
| ALLEN, CANNON, EDWARD3 | 7412 UNIVERSITY AVENUE, UNIT 1 LUBBOCK, TX 79423 | FIRST UNUM LIFE INSURANCE COMPANY | $74 | $0 | $74 | 64.35% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCY INC. | 7412 UNIVERSITY AVENUE, UNIT 1 LUBBOCK, TX 79423 | FIRST UNUM LIFE INSURANCE COMPANY | $0 | $6 | $6 | 5.22% |
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 | 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 | $527K |
| Short-term disability | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | 445 | $110K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,132 | $417K |
| Prescription drug | UNITED BEHAVIORAL HEALTH DBA OPTUM | 1,125 | $10K |
| Other(4 contracts, 4 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 1,132 | $602K |
| 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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.