| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY INC | PO BOX 908 FORT WORTH, TX 76101 | HEALTH CARE SERVICE CORPORATION | $32K | $1K | $33K | 3.82% |
| INSURANCE & BONDS AGENCY OF TEXAS3 | 10101 REUNION PLACE SUITE 100 SAN ANTONIO, TX 78216 | HEALTH CARE SERVICE CORPORATION | $2K | — | $2K | 0.25% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY INC | 500 WEST 13TH STREET FORT WORTH, TX 73102 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $4K | $598 | $5K | 17.03% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 10101 REUNION PLACE SUITE 100 SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $345 | — | $345 | 1.16% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY INC | 500 WEST 13TH STREET FORT WORTH, TX 76102 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $248 | $1K | 12.12% |
| ACRISURE LLC3 Filed as: ACRISURE, LLC | 10101 REUNION PLACE SUITE 100 SAN ANTONIO, TX 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $91 | — | $91 | 0.74% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY INC | 500 W 13TH STREET FORT WORTH, TX 76101 | AMERITAS LIFE INSURANCE CORP | $212 | — | $212 | 18.60% |
| ACRISURE LLC3 Filed as: ACRISURE | 10101 REUNION PLACE SAN ANTONIO, TX 78216 | AMERITAS LIFE INSURANCE CORPORATION | $16 | — | $16 | 1.40% |
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 | 159 | 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) | 159 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICE CORPORATION | 177 | $868K |
| Dental(2 contracts, 2 carriers) | AMERITAS LIFE INSURANCE CORP | 162 | $2K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 41 | $12K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 48 | $30K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 177 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
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.