| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE STE 207 SOUTHLAKE, TX 760926407 | PRINCIPAL LIFE INSURANCE COMPANY | $8K | — | $8K | 11.44% |
| SELLORS, MICHELE3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $924 | — | $924 | 3.51% |
| KEITH LEPACK3 Filed as: KEITH, KENNETH D | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $785 | — | $785 | 2.98% |
| BLANTON, LISA3 Filed as: BLANTON, LISA J | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $483 | — | $483 | 1.83% |
| BOURDON, MICHELLE3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $29 | — | $29 | 0.11% |
| WILMA GALE JOHNSON3 | 4100 ELDORADO PKWY STE 100387 MCKINNEY, TX 75070 | AFLAC | $414 | — | $414 | 2.32% |
| MICHAEL RAY ROBINS3 | 3812 NANTUCKET DR PLANO, TX 75023 | AFLAC | $327 | — | $327 | 1.84% |
| H PATRICK BRUMLEY3 | 4 GLENDALE CT TROPHY CLUB, TX 76262 | AFLAC | $138 | — | $138 | 0.77% |
| LEANNE RENEE BRUMLEY3 | 4 GLENDALE COURT TROPHY CLUB, TX 76262 | AFLAC | $115 | — | $115 | 0.65% |
| TARA MCKNIGHT3 | 3812 NANTUCKET DR PLANO, TX 75023 | AFLAC | $102 | — | $102 | 0.57% |
| SHARLY K BATHE3 | 1816 BROADWAY AVE MATTOON, IL 61938 | AFLAC | $92 | — | $92 | 0.52% |
| CRAIG S DAVIES3 | 109 TIMBER CREEK CT ARGYLE, TX 76226 | AFLAC | $88 | — | $88 | 0.49% |
| ALEXANDRIA NICOLE ARNOLD3 | 4100 ELDORADO PKWY STE 100387 MCKINNEY, TX 75070 | AFLAC | $75 | — | $75 | 0.42% |
| TAMMYE DEE ISBELL3 | 132 MOCKINGBIRD LN JACKSBORO, TX 76458 | AFLAC | $71 | — | $71 | 0.40% |
| JUVENCIO JUAREZ PRADO3 | 2028 TEXOMA PKWY SHERMAN, TX 75090 | AFLAC | $64 | — | $64 | 0.36% |
| JIMMY D WILLIAMS3 | 10614 HUFFINES DR ROWLETT, TX 75089 | AFLAC | $63 | — | $63 | 0.35% |
| SHARYL K BATHE3 | 120 S 8TH ST MATTOON, IL 61938 | AFLAC | $53 | — | $53 | 0.30% |
| FRANKLIN R DAVIES3 | 201 ROYAL ABERDEEN WAY MCKINNEY, TX 75070 | AFLAC | $45 | — | $45 | 0.25% |
| KENNETH B ISBELL3 | 132 MOCKINGBIRD LANE JACKSBORO, TX 76458 | AFLAC | $45 | — | $45 | 0.25% |
| ROBERT PERRY EVANS JR3 | 1031 SADDLEBROOK DR LUCAS, TX 75002 | AFLAC | $37 | — | $37 | 0.21% |
| GREGORY LAKE JONES3 | 6400 CROSS TIMBERS RD FLOWER MOUND, TX 75022 | AFLAC | $27 | — | $27 | 0.15% |
| WILLIAM A GRAHAM COMPANY3 Filed as: WILLIAM C COVINGTON | 2340 E TRINITY MILLS RD STE 300 CARROLLTON, TX 75006 | AFLAC | $26 | — | $26 | 0.15% |
| DAVID M COUGHLIN3 | 4253 HUNT DR APT 1607 CARROLLTON, TX 75010 | AFLAC | $12 | — | $12 | 0.07% |
| GARY C KLEIN3 | 5924 BALFOUR CT STE 100 CARLSBAD, CA 92008 | AFLAC | $8 | — | $8 | 0.04% |
| HARVEY EDWARD MCCREARY JR3 | 273 BELLWOOD DR GARLAND, TX 75040 | AFLAC | $4 | — | $4 | 0.02% |
| RICKY POLSER3 | 1210 COUNTY ROAD 4930 LEONARD, TX 75452 | AFLAC | $2 | — | $2 | 0.01% |
| STEVEN B KEMPTON3 | 2570 ELDORADO PKWY STE 130 MCKINNEY, TX 75070 | AFLAC | $1 | — | $1 | 0.01% |
| WENDY CRUZ3 | 3928 MAGGIES MEADOW DENTON, TX 76210 | AFLAC | $0 | — | $0 | 0.00% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 194 | $115K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 194 | $71K |
| Life insurance(3 contracts, 3 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 194 | $115K |
| Other(2 contracts, 2 carriers) | LIBERTY NATIONAL LIFE INSURANCE COMPANY | 59 | $44K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 194 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.