| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM & ASSOCIATES | 500 W 13TH ST FORT WORTH, TX 76102 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $51K | $0 | $51K | 4.43% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY INC | 500 W 13TH ST FORT WORTH, TX 76102 | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | $26K | $0 | $26K | 2.26% |
| HIGGINBOTHAM INS AGENCY INC7 Filed as: HIGGINBOTHAM & ASSOCIATES | PO BOX 908 500 W 13TH ST FORT WORTH, TX 76102 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $25K | $6K | $30K | 12.29% |
| STEALTH PARTNER GROUP LLC7 Filed as: STEALTH PARTNER GROUP | 18940 NORTH PIMA ROAD STE 210 SCOTTSDALE, AZ 85255 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $12K | $12K | 4.97% |
| HIGGINBOTHAM INS AGENCY INC7 Filed as: HIGGINBOTHAM & ASSOCIATES | PO BOX 908 500 W 13TH ST FORT WORTH, TX 76102 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $12K | $3K | $15K | 12.69% |
| STEALTH PARTNER GROUP LLC7 Filed as: STEALTH PARTNER GROUP | 18940 NORTH PIMA ROAD STE 210 SCOTTSDALE, AZ 85255 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $6K | $6K | 5.00% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | 500 W 13TH ST FORT WORTH, TX 76102 | VISION SERVICE PLAN | $0 | $4K | $4K | 5.50% |
| HIGGINBOTHAM INS AGENCY INC7 Filed as: HIGGINBOTHAM & ASSOCIATES | PO BOX 908 500 W 13TH ST FORT WORTH, TX 76102 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $7K | $2K | $8K | 12.53% |
| STEALTH PARTNER GROUP LLC7 Filed as: STEALTH PARTNER GROUP | 18940 NORTH PIMA ROAD STE 210 SCOTTSDALE, AZ 85255 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $3K | $3K | 5.00% |
| HIGGINBOTHAM INS AGENCY INC7 Filed as: HIGGINBOTHAM & ASSOCIATES | PO BOX 908 500 W 13TH ST FORT WORTH, TX 76102 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | $534 | $3K | 12.58% |
| STEALTH PARTNER GROUP LLC7 Filed as: STEALTH PARTNER GROUP | 18940 NORTH PIMA ROAD STE 210 SCOTTSDALE, AZ 85255 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $1K | $1K | 5.00% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | 500 W 13TH ST FORT WORTH, TX 76102 | VISION SERVICE PLAN | $0 | $205 | $205 | 4.99% |
| HIGGINBOTHAM INS AGENCY INC7 Filed as: HIGGINBOTHAM & ASSOCIATES | PO BOX 908 500 W 13TH ST FOIRT WORTH, TX 76102 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $1 | $1 | — |
| HIGGINBOTHAM INS AGENCY INC7 Filed as: HIGGINBOTHAM & ASSOCIATES | PO BOX 908 500 W 13TH ST FORT WORTH, TX 76102 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $0 | $1 | $1 | — |
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 | 469 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 12 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 481 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,250 | $1.2M |
| Vision(2 contracts) | VISION SERVICE PLAN | 505 | $79K |
| Life insurance(2 contracts) | LIFE INSURANCE COMPANY OF NORTH AMERICA | 675 | $268K |
| Short-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 675 | $65K |
| Long-term disability | LIFE INSURANCE COMPANY OF NORTH AMERICA | 863 | $118K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,250 | $1.2M |
| Other(3 contracts, 2 carriers) | CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES | 1,250 | $1.2M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,250 | — |
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.