| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAVID M WILKINS3 Filed as: DAVID M. WILKINS | P.O. BOX 120427 ARLINGTON, TX 75012 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $38K | $10K | $48K | 11.21% |
| HOLMES MURPHY & ASSOCIATES3 Filed as: HOLMES MURPHY AND ASSOCIATES | 12712 PARK CENTRAL DRIVE SUITE 100 DALLAS, TX 75251 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $26K | — | $26K | 6.04% |
| JENNINGS INSURANCE SERVICES3 Filed as: JENNINGS INSURANCE COMPANY | 10524 MOSS PARK ROAD 206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $26K | $26K | 6.00% |
| NOLAN R SMITH3 Filed as: NOLAN R. SMITH | 1019 BROWN DRIVE WAKE VILLAGE, TX 75501 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $30K | — | $30K | 16.51% |
| THOMAS C SMITH3 Filed as: THOMAS C. SMITH | 2928 FOSTER CREIGHTON DRIVE NASHVILLE, TN 37204 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 0.77% |
| BOCKMAN INSURANCE AGENCY3 | 450 E LOOP 281 #C1 LONGVIEW, TX 75605 | SUPERIOR VISION PLAN OF TEXAS | $8K | — | $8K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| OPTUM RX, INC. EIN 33-0441200 PHARMACY BENEFIT MANAGER | Float revenue; Claims processing; Direct payment from the plan; Other fees Service code 12 | — | $592K |
| UMR, INC. EIN 39-1995276 CLAIMS PROCESSING | Claims processing Service code 12 | — | $120K |
| BOCKMAN INSURANCE AGENCY EIN 75-2914416 BROKER | Other commissions Service code 55 | — | $12K |
| HOLMES MURPHY & ASSOCIATES EIN 42-0985055 BROKER | Other commissions Service code 55 | — | $8K |
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 | 578 | 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) | 578 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Vision | SUPERIOR VISION PLAN OF TEXAS | 489 | $76K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 711 | $426K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 711 | $611K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 711 | $426K |
| Stop-loss / reinsurancereinsurance | QBE INSURANCE CORPORATION | 578 | $494K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 711 | $426K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 711 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.