| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BILL HARTSFIELD & ASSOCIATES3 | 4902 LAKERIDGE DRIVE LUBBOCK, TX 79424 | BLUECROSS BLUESHIELD OF TEXAS | $80K | — | $80K | 3.05% |
| BILL HARTSFIELD & ASSOCIATES3 Filed as: BILL HARTSFIELD & ASSOCIATES INC | 4902 LAKERIDGE DRIVE LUBBOCK, TX 79424 | DELTA DENTAL INSURANCE COMPANY | $15K | — | $15K | 10.00% |
| BILL HARTSFIELD & ASSOCIATES3 Filed as: BILL HARTSFIELD & ASSOCIATES INC | 4902 LAKERIDGE DRIVE LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | — | $17K | 20.00% |
| BILL HARTSFIELD & ASSOCIATES3 Filed as: BILL HARTSFIELD & ASSOCIATES INC | 4902 LAKERIDGE DRIVE LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $13K | — | $13K | 20.00% |
| BILL HARTSFIELD & ASSOCIATES3 Filed as: BILL HARTSFIELD & ASSOCIATES INC | 4902 LAKERIDGE DRIVE LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | — | $7K | 20.00% |
| BILL HARTSFIELD & ASSOCIATES3 | 4902 LAKERIDGE DRIVE LUBBOCK, TX 79424 | SUPERIOR VISION OF TEXAS | $2K | — | $2K | 10.93% |
| BILL HARTSFIELD & ASSOCIATES3 Filed as: BILL HARTSFIELD & ASSOCIATES INC | 4902 LAKERIDGE DRIVE LUBBOCK, TX 79424 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 20.00% |
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 | 446 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 0 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 446 | $2.6M |
| Dental | DELTA DENTAL INSURANCE COMPANY | 367 | $152K |
| Vision | SUPERIOR VISION OF TEXAS | 459 | $17K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 377 | $48K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 377 | $83K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 377 | $66K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 377 | $48K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 459 | — |
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.