| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEPHENS BASTIAN AND CARTWRIGHT LP3 Filed as: STEPHENS BASTIAN & CARTWRIGHT, LP. | — | BLUECROSS BLUESHIELD OF TEXAS | $88K | $1K | $89K | 5.33% |
| STEPHENS BASTIAN AND CARTWRIGHT LP3 Filed as: STEPHENS, BASTIAN & CARTWRIGHT LP | 2351 S FM 51 STE 300 DECATUR, TX 762343780 | DEARBORN LIFE INSURANCE COMPANY | $10K | — | $10K | 10.01% |
| STEPHENS BASTIAN AND CARTWRIGHT LP3 | 2351 S FM 51 STE 300 DECATUR, TX 76234 | AFLAC | $2K | — | $2K | 6.07% |
| JANIE REYES3 | 5713 HOBART ST FORT WORTH, TX 76134 | AFLAC | $799 | $28 | $827 | 3.16% |
| MARY L WILLIAMS3 | 1102 STEVENS ST STE 1 BRIDGEPORT, TX 76426 | AFLAC | $480 | $6 | $486 | 1.86% |
| JASON L WEEKS3 | 8191 HIGHWAY 46 N SHERIDAN, AR 72150 | AFLAC | $370 | — | $370 | 1.41% |
| MARCI M SCHNITKER3 | 1483 TAYLOR RD HOWE, TX 75459 | AFLAC | $320 | — | $320 | 1.22% |
| MERCER HEALTH AND BENEFITS, LLC3 Filed as: BLANCA VILLEGAS | 9985 HIGHWAY 199 W POOLVILLE, TX 76487 | AFLAC | $119 | — | $119 | 0.45% |
| DAVID MARK ROSALES3 | 1502 BRANDENBURG ST MANSFIELD, TX 76063 | AFLAC | $78 | — | $78 | 0.30% |
| MARK WOOD3 Filed as: MARK C WOOD | 2912 MAPLE CREEK DR FORT WORTH, TX 76177 | AFLAC | $68 | — | $68 | 0.26% |
| JUDY L EDWARDS3 | PO BOX 67 GRANBURY, TX 76048 | AFLAC | $50 | — | $50 | 0.19% |
| THE BLUE ORANGE SOLUTIONS, LLC3 Filed as: THE BLUE ORANGE SOLUTIONS | 2435 N CENTRAL EXPY 12TH FL RICHARDSON, TX 75080 | AFLAC | $31 | — | $31 | 0.12% |
| DONNA D LASKOSKIE3 | 4515 WILDWOOD CIR GRANBURY, TX 76049 | AFLAC | $18 | — | $18 | 0.07% |
| CECIL RAY PARKER3 | 1102 FM 378 LORENZO, TX 79343 | AFLAC | $13 | — | $13 | 0.05% |
| ROBERT G. RELPH AGENCY, INC.3 Filed as: ROBERT L CLARK | 5601 COUNTY ROAD 1450 LUBBOCK, TX 79407 | AFLAC | $12 | — | $12 | 0.05% |
| PETER B WILKINSON JR3 | 1408 LANCELOT AVE WOLFFORTH, TX 79382 | AFLAC | $12 | — | $12 | 0.05% |
| CRAIG S DAVIES3 | 531 SANDY LN FLOWER MOUND, TX 75022 | AFLAC | $12 | — | $12 | 0.05% |
| ALICE B STONE3 | 716 FINCH CT CROWLEY, TX 76036 | AFLAC | $10 | — | $10 | 0.04% |
| JOHN M JOHNSON3 | 2150 W NORTHWEST HWY STE 114 GRAPEVINE, TX 76051 | AFLAC | $2 | — | $2 | 0.01% |
| MICHAEL A SIMPSON3 | 1318 MONTGOMERY LN SOUTHLAKE, TX 76092 | AFLAC | $2 | — | $2 | 0.01% |
| DAVID D SIMPSON3 | 7724 TAMARRON CT NORTH RICHLAND HILLS, TX 76182 | AFLAC | $1 | — | $1 | 0.00% |
| DARON H PHILLIPS3 | 8690 FM 1979 MARTINDALE, TX 78655 | AFLAC | $1 | — | $1 | 0.00% |
| STEPHENS BASTIAN AND CARTWRIGHT LP3 Filed as: STEPHENS BASTIAN & CARTWRIGHT | LP 2351 S FM 51 STE 300 DECATUR, TX 762343780 | VISION SERVICE PLAN | $1K | — | $1K | 5.04% |
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 | 200 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 2 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 203 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 342 | $1.7M |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 342 | $1.7M |
| Vision | VISION SERVICE PLAN | 137 | $25K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 195 | $104K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 195 | $104K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 195 | $104K |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 195 | $130K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 342 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.