| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMMERCIAL UNDERWRITERS INC3 | — | BLUECROSS BLUESHIELD OF TEXAS | $50K | — | $50K | 4.63% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC. | — | BLUECROSS BLUESHIELD OF TEXAS | $11K | — | $11K | 1.00% |
| JAMES ARTHUR VOLLMER3 | 401 N CARROLL AVE STE 207 SOUTHLAKE, TX 760926407 | PRINCIPAL LIFE INSURANCE COMPANY | $6K | $1K | $7K | 12.77% |
| SELLORS, MICHELE3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 3.96% |
| BLANTON, LISA3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $1K | — | $1K | 2.29% |
| KEITH LEPACK3 Filed as: KEITH, KENNETH | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $592 | — | $592 | 1.19% |
| POPE INSURANCE LLC3 Filed as: POPE, THOMAS | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $316 | — | $316 | 0.63% |
| TRULY B. PINEDA3 Filed as: TRULY, TRACI | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $124 | — | $124 | 0.25% |
| HOSKING, LIAM3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $65 | — | $65 | 0.13% |
| GUERRERO SOLIS JR3 Filed as: GUERRERO, SHELLY | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $63 | — | $63 | 0.13% |
| FOJTASEK, JARED3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $57 | — | $57 | 0.11% |
| GEBHARDT, CHRISTOPHER3 Filed as: GEBHARDT, CHISTOPHER | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $47 | — | $47 | 0.09% |
| SAUCEDO, AMARA3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $47 | — | $47 | 0.09% |
| POZOS, MARIELA3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $37 | — | $37 | 0.07% |
| HARRY LORE3 Filed as: HARRY, ABBREA | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $27 | — | $27 | 0.05% |
| FLOWERS AGENCY LLC3 Filed as: FLOWERS, DEANA | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $21 | — | $21 | 0.04% |
| COLE PAPE3 Filed as: COLE, LAURA | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $20 | — | $20 | 0.04% |
| CANTRELL, THOMAS3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $19 | — | $19 | 0.04% |
| ESHETE, HELEN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $19 | — | $19 | 0.04% |
| GELAW, TEMESGEN3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $16 | — | $16 | 0.03% |
| BOURDON, MICHELLE3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $8 | — | $8 | 0.02% |
| FAIN, TRAVIS3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| SPLAWN, BRITTANY3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $7 | — | $7 | 0.01% |
| FISCHER ROUNDS & ASSOCIATES INC3 Filed as: FISCHER, WILLIAM | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN, BOB | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| SOLOMON F SCHICK & ASSOCIATES INC3 Filed as: SOLOMON, ETHEL | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| SPEISER, JENNY3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | $4 | — | $4 | 0.01% |
| WALLENBERG, BRITNEY3 | — | LIBERTY NATIONAL LIFE INSURANCE COMPANY | -$15 | — | -$15 | -0.03% |
| COMMERCIAL UNDERWRITERS INC3 Filed as: COMMERCIAL UNDERWRITERS, INC | 3515 SYCAMORE SCHOOL RD STE 125.333 FORT WORTH, TX 76133 | DEARBORN LIFE INSURANCE COMPANY | $2K | — | $2K | 14.99% |
| ROGERS BENEFIT GROUP INC3 Filed as: ROGERS BENEFIT GROUP, INC | 5110 N 40TH STREET #234 PHOENIX, AZ 85018 | DEARBORN LIFE INSURANCE COMPANY | — | $826 | $826 | 5.00% |
| WILMA GALE JOHNSON3 | 4100 ELDORADO PKWY STE 100387 MCKINNEY, TX 75070 | AFLAC | $341 | — | $341 | 2.13% |
| MICHAEL RAY ROBINS3 | 3943 RANCH ESTATES DR PLANO, TX 75074 | AFLAC | $310 | — | $310 | 1.94% |
| H PATRICK BRUMLEY3 | 1524 TWISTLEAF RD ARGYLE, TX 76226 | AFLAC | $144 | — | $144 | 0.90% |
| SHARYL K BATHE3 Filed as: SHARYL K JUNEAU | 620 ODD FELLOW RD MATTOON, IL 61938 | AFLAC | $131 | — | $131 | 0.82% |
| LEANN RENEE BRUMLEY3 | 1524 TWISTLEAF RD ARGYLE, TX 76226 | AFLAC | $114 | — | $114 | 0.71% |
| CRAIG S DAVIES3 | 531 SANDY LN FLOWER MOUND, TX 75022 | AFLAC | $93 | — | $93 | 0.58% |
| TAMMYE DEE ISBELL3 | 905 W COLLEGE ST JACKSBORO, TX 76458 | AFLAC | $78 | — | $78 | 0.49% |
| TARA MCKNIGHT3 | 3943 RANCH ESTATES DR PLANO, TX 75074 | AFLAC | $65 | — | $65 | 0.41% |
| KENNETH B ISBELL3 | 905 W COLLEGE ST JACKSBORO, TX 76458 | AFLAC | $49 | — | $49 | 0.31% |
| FRANKLIN R DAVIES3 | 201 ROYAL ABERDEEN WAY MCKINNEY, TX 75072 | AFLAC | $48 | — | $48 | 0.30% |
| ALEXANDRIA NICOLE ARNOLD3 | 4100 ELDORADO PKWY STE 100387 MCKINNEY, TX 75070 | AFLAC | $39 | — | $39 | 0.24% |
| ROBERT PERRY EVANS JR3 | 14422 COUNTY ROAD X MCLEAN, TX 79057 | AFLAC | $33 | — | $33 | 0.21% |
| GREGORY LAKE JONES3 | 4116 MUSTANG TRL FLOWER MOUND, TX 75028 | AFLAC | $25 | — | $25 | 0.16% |
| GARY C KLEIN3 | 3211 SAN SEBASTIAN DR CARROLLTON, TX 75006 | AFLAC | $19 | — | $19 | 0.12% |
| DAVID M COUGHLIN3 | 2229 WHITE MIST DR LAS VEGAS, NV 89134 | AFLAC | $12 | — | $12 | 0.08% |
| HARVEY EDWARD MCCREARY JR3 | 717 BOSLEY FATE, TX 75087 | AFLAC | $10 | — | $10 | 0.06% |
| RICKY POLSER3 | 1210 COUNTY ROAD 4930 LEONARD, TX 75452 | AFLAC | $4 | — | $4 | 0.03% |
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 | 108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 147 | $1.1M |
| Dental(2 contracts, 2 carriers) | PRINCIPAL LIFE INSURANCE COMPANY | 182 | $71K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 182 | $55K |
| Life insurance(2 contracts, 2 carriers) | LIBERTY NATIONAL LIFE INSURANCE COMPANY | 115 | $66K |
| Short-term disability | AFLAC | 17 | $16K |
| Other(3 contracts, 3 carriers) | LIBERTY NATIONAL LIFE INSURANCE COMPANY | 115 | $82K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 182 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.