| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 600 AMARILLO, TX 79101 | BLUECROSS BLUESHIELD OF TEXAS | $5K | $891 | $6K | 0.67% |
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 300 AMARILLO, TX 79101 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $9K | $0 | $9K | 15.00% |
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 600 AMARILLO, TX 79101 | 5STAR LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.83% |
| DIANNE L MARTIN3 Filed as: DIANNE WALL, INC. | UNKNOWN AMARILLO, TX 79109 | ASSURITY LIFE INSURANCE COMPANY | $2K | $0 | $2K | 5.28% |
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 600 AMARILLO, TX 79101 | ASSURITY LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.55% |
| LOGAN TIFFANY3 Filed as: LOGAN THOMAS TIFFANY | UNKNOWN AMARILLO, TX 79109 | ASSURITY LIFE INSURANCE COMPANY | $2K | $0 | $2K | 4.40% |
| GALLAGHER BENEFIT SERVICES, INC.3 | UNKNOWN AMARILLO, TX 79109 | ASSURITY LIFE INSURANCE COMPANY | $870 | $0 | $870 | 2.33% |
| CARTER-CRUTCHFIELD, INC.3 | UNKNOWN AMARILLO, TX 79109 | ASSURITY LIFE INSURANCE COMPANY | $595 | $0 | $595 | 1.59% |
| WORKSITE MARKETING CONCEPTS INC3 Filed as: WORKSITE MARKETING CONCEPTS, INC. | UNKNOWN AMARILLO, TX 79109 | ASSURITY LIFE INSURANCE COMPANY | $140 | $0 | $140 | 0.37% |
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 600 AMARILLO, TX 79101 | DEARBORN LIFE INSURANCE COMPANY | $2K | $0 | $2K | 10.03% |
| INSURICA, INC.3 Filed as: INSURICA DFB INSURANCE SERVICES | 301 SOUTH POLK STREET, SUITE 600 AMARILLO, TX 79101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 21.94% |
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 | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 120 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 212 | $953K |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 112 | $16K |
| Life insurance(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 139 | $140K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 120 | $57K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 120 | $57K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 212 | $953K |
| Other(3 contracts, 3 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 139 | $103K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 212 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.