| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS OF TX | 818 TOWN AND COUNTRY SUITE 500 HOUSTON, TX 77024 | BLUECROSS BLUESHIELD OF TEXAS | $22K | $833 | $23K | 1.02% |
| STHEALTH BENEFIT SOLUTIONS LLC3 Filed as: STHEALTH BENEFIT SLTNS | 18940 N PIMA ROAD SUITE 210 SCOTTSDALE, AZ 85255 | HM LIFE INSURANCE COMPANY | $49K | — | $49K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS OF TX | 5080 SPECTRUM DRIVE SUITE 900E ADDISON, TX 75001 | UNITED CONCORDIA INSURANCE COMPANY | $22K | — | $22K | 9.81% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS OF TX | 818 TOWN AND COUNTRY BLVD SUITE 500 HOUSTON, TX 77024 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $9K | — | $9K | 9.94% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS | 2211 7TH AVENUE S BIRMINGHAM, AL 35233 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $4K | — | $4K | 5.07% |
| DALLIS C. PETERSON3 | P.O. BOX 1703 BOERNE, TX 78006 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 3.72% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS | 818 TOWN AND COUNTRY BLVD SUITE 500 HOUSTON, TX 77024 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $942 | — | $942 | 2.07% |
| DENNIS M PETERSON3 Filed as: DENNIS PETERSON | P.O. BOX 1703 BOERNE, TX 78006 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $497 | — | $497 | 1.09% |
| BENEFIT ALLIANCE INC3 Filed as: BENEFIT ALLIANCE, INC. | P.O. BOX 1703 BOERNE, TX 78006 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $318 | — | $318 | 0.70% |
| CHRISTINE MCCULLOUGH3 Filed as: CHRISTINE WINKENHOWER | 13333 BLANCO ROAD #318 SAN ANTONIO, TX 78216 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $143 | — | $143 | 0.31% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | 14241 DALLAS PARKWAY SUITE 300 DALLAS, TX 75254 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF, SEIBELS & WILLIAMS OF TX | 5080 SPECTRUM DRIVE SUITE 900E ADDISON, TX 75001 | STARR INDEMNITY AND LIABILITY COMPANY | $5K | — | $5K | 15.00% |
| REUBEN WARNER ASSOCIATES, INC.3 | 1655 RICHMOND AVENUE STATEN ISLAND, NY 10314 | STARR INDEMNITY AND LIABILITY COMPANY | — | $5K | $5K | 15.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS | 5080 SPECTRUM DRIVE SUITE 900E ADDISON, TX 75001 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 9.76% |
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 | 195 | 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) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 471 | $2.3M |
| Dental | UNITED CONCORDIA INSURANCE COMPANY | 487 | $229K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 168 | $13K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 181 | $86K |
| Stop-loss / reinsurancereinsurance | HM LIFE INSURANCE COMPANY | 194 | $324K |
| Other(2 contracts, 2 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 195 | $117K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 487 | — |
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."
No prospect flags tripped on this filing.