| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 6601 I-40 WEST, SUITE 1 AMARILLO, TX 79106 | BLUECROSS BLUESHIELD OF TEXAS | $39K | $0 | $39K | 5.62% |
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 600 AMARILLO, TX 79101 | BLUECROSS BLUESHIELD OF TEXAS | $8K | $0 | $8K | 1.12% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6601 I-40 WEST, SUITE 1 AMARILLO, TX 79106 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $6K | $0 | $6K | 10.30% |
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 600 AMARILLO, TX 79101 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $2K | $0 | $2K | 3.45% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 WEST GOLF ROAD ROLLING MEADOWS, IL 60008 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $0 | $2K | $2K | 2.58% |
| GALLAGHER BENEFIT SERVICES, INC.3 | UNKNOWN AMARILLO, TX 79106 | ASSURITY LIFE INSURANCE COMPANY | $10K | $0 | $10K | 22.63% |
| DIANNE L MARTIN3 Filed as: DIANNE WALL, INC. | UNKNOWN AMARILLO, TX 79109 | ASSURITY LIFE INSURANCE COMPANY | $3K | $0 | $3K | 6.25% |
| CARTER-CRUTCHFIELD, INC.3 | UNKNOWN AMARILLO, TX 79109 | ASSURITY LIFE INSURANCE COMPANY | $796 | $0 | $796 | 1.86% |
| DIANE WALL, INC.3 Filed as: DIANE WILL INC. | 4160 BUSINESS PARK DRIVE AMARILLO, TX 79110 | 5STAR LIFE INSURANCE COMPANY | $1K | $0 | $1K | 3.95% |
| JULIE L. HULSEY, LP3 Filed as: JULIE L HULSEY LP | 6601 WEST INTERSTATE 40 AMARILLO, TX 79110 | 5STAR LIFE INSURANCE COMPANY | $797 | $0 | $797 | 2.58% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6601 I-40 WEST, SUITE 1 AMARILLO, TX 79106 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | $0 | $1K | 17.84% |
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 600 AMARILLO, TX 79101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $233 | $0 | $233 | 3.56% |
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 | 99 | 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) | 99 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 157 | $702K |
| Vision | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 117 | $60K |
| Life insurance(3 contracts, 3 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 167 | $134K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 117 | $60K |
| Long-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 117 | $60K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 157 | $702K |
| Other(3 contracts, 3 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 167 | $109K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 167 | — |
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.