| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: WALTER P. BROWN | 2420 ALTA VISTA DR DENTON, TX 762104619 | AETNA LIFE INSURANCE | $1K | $0 | $1K | 0.14% |
| CAROL A BAKER3 | 2318 PROMONTORORY POINT PLANO, TX 75075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $10K | — | $10K | 8.11% |
| COLONIAL OF NORTH TEXAS INSURANCE3 | 4621 GLEN HEATHER DR FRISCO, TX 75034 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $555 | $2K | 1.70% |
| WALTER M SEVERN3 Filed as: WALTER M. SEVERN | 101 COUNTY RD 3153 KEMPNER, TX 76539 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $967 | — | $967 | 0.75% |
| DAVID EVANS3 | 2711 YORK CT. SOUTHLAKE, TX 76092 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $174 | — | $174 | 0.14% |
| DEBORAH A CHILDRESS3 Filed as: DEBORAH A. CHILDRESS | 5523 BRAZORIA DR GRAND PRAIRIE, TX 75052 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $119 | — | $119 | 0.09% |
| AHRENE BENEFITS COMMUNICATIONS INC.3 | 4911 HOLLY TREE DR DALLAS, TX 75287 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $57 | — | $57 | 0.04% |
| JENNIFER PAIGE SMITH3 | 740 WINDING OAK BEND LAKE DALLAS, TX 75065 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | 0.01% |
| CHALSEE CANTRELL3 | 1007 THISLE DR MESQUITE, TX 75149 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $35 | — | $35 | — |
| DONNELL EUGENE STANLEY3 | 716 COTTONWOOD BEND DR ALLEN, TX 75002 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $31 | — | $31 | — |
| GLADY R ROWAN3 | 202 W, LOUISIANA MCKINNEY, TX 75069 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $28 | — | $28 | — |
| SHERRY M ALLBRITTON3 | 3809 WINDING RD ARLINGTON, TX 76016 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | — |
| JOE FOSTER3 | 17300 PRESTON RD DALLAS, TX 75252 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | — |
| MYLEE MENDENHALL3 | 17300 PRESTON ROAD DALLAS, TX 75262 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $13 | — | $13 | — |
| FRANCISO X CABERA3 | 8616 PALMER CT. MCKINNEY, TX 75070 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | — |
| SALLY ELIZABETH PARKER3 | 309 WINDMILL DRIVE LAVON, TX 75166 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $663 | $97 | $760 | — |
| DAN BOYD3 | 7401 MAPLE DRIVE N. RICHLAND HILLS, TX 76180 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $119 | — | $119 | — |
| RUBEN D PEREZ3 Filed as: RUBEN D. PEREZ | 6352 ALCORN AVE DALLAS, TX 75217 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $66 | — | $66 | — |
| RONNIE WAYNE HAMILTON3 Filed as: RONNIE W HAMILTON | 5013 WWAY TRI AMARILLO, TX 79109 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $46 | — | $46 | — |
| MARK J. SIMS3 | 6856 CAPE COD DR GRAND PRAIRIE, TX 75054 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $16 | — | $16 | — |
| DEACON CHARLES KAVANAUGH3 | 6336 HILL CREEK DR THE COLONY, TX 75056 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8 | — | $8 | — |
| PATRICIA A YEATS3 Filed as: PATRICIA YEATS | PO BOX 500 COPPELL, TX 75019 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $3 | — | $3 | — |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | 500 W 13TH STREET FORT WORTH, TX 76102 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $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 | 116 | 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) | 116 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(5 contracts, 2 carriers) | AETNA LIFE INSURANCE | 131 | $886K |
| Life insurance | AETNA LIFE INSURANCE | 131 | $758K |
| Other | AETNA LIFE INSURANCE | 131 | $758K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 131 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.