| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 2727 ALLEN PKWY STE 1580 HOUSTON, TX 77019 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $21K | $7K | $28K | 19.98% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 8144 WALNUT HILL LN FL 16 DALLAS, TX 75231 | METROPOLITAN LIFE INSURANCE COMPANY | $5K | $38 | $5K | 5.00% |
| WORTHAM SAN ANTONIO INC3 Filed as: WORTHAM SAN ANTONIO INC. | 131 INTERPARK BLVD SAN ANTONIO, TX 782161841 | METROPOLITAN LIFE INSURANCE COMPANY | $756 | — | $756 | 0.83% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN | 250 PEHLE AVE STE 400 PARK 80 PLAZA 2 SADDLE BROOK, NJ 076635826 | METROPOLITAN LIFE INSURANCE COMPANY | — | $564 | $564 | 0.62% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 6279 TRI RIDGE BLVD STE 400 LOVELAND, OH 45140 | METROPOLITAN LIFE INSURANCE COMPANY | — | $8 | $8 | 0.01% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA DBA WORTHAM | PO BOX 301598 SAN ANTONIO, TX 782161841 | VISION SERVICE PLAN | $1K | — | $1K | 5.52% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH WORTHAM | 131 INTERPARK BLVD SAN ANTONIO, TX 782161841 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $993 | — | $993 | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | PO BOX 301598 DALLAS, TX 75303 | TRANSAMERICA LIFE INSURANCE COMPANY | $302 | — | $302 | 4.85% |
| CANALICHIO INSURANCE GROUP, LLC3 Filed as: CANALICHIO INSURANCE GROUP | 1067 FM 306 STE 305 NEW BRAUNFELS, TX 78130 | TRANSAMERICA LIFE INSURANCE COMPANY | $276 | — | $276 | 4.43% |
| JOHN D BODKER3 | 9014 CALLAGHAN RD SAN ANTOINO, TX 78230 | TRANSAMERICA LIFE INSURANCE COMPANY | $29 | — | $29 | 0.47% |
| DENNIS M PETERSON3 | P.O. BOX 2916 CEDAR PARK, TX 78630 | TRANSAMERICA LIFE INSURANCE COMPANY | $3 | — | $3 | 0.05% |
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 | 120 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 123 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 339 | $91K |
| Vision | VISION SERVICE PLAN | 87 | $20K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 119 | $138K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 119 | $138K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 119 | $138K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 119 | $154K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 339 | — |
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.