| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY STE 300 DEER PARK, IL 60010 | PAN-AMERICAN LIFE INSURANCE COMPANY | $24K | — | $24K | 10.00% |
| PROFESSIONAL ENROLLMENT CONCEPTS3 | 6200 SAVOY STE 345 HOUSTON, TX 77036 | ALLSTATE BENEFITS | $23K | — | $23K | 12.43% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | ALLSTATE BENEFITS | $6K | — | $6K | 3.28% |
| BRANDON PENKO3 | 4927 MAGNOLIA BEND DR ROSHARON, TX 77583 | ALLSTATE BENEFITS | $2K | — | $2K | 0.90% |
| ROSEMARY CHOI3 | 5442 MCCULLOUGH CIRCLE HOUSTON, TX 77056 | ALLSTATE BENEFITS | $1K | — | $1K | 0.67% |
| GUADALUPE M RUIZ JR3 | PO BOX 858 LYFORD, TX 78569 | ALLSTATE BENEFITS | $783 | — | $783 | 0.42% |
| CONSTANCIO RUIZ3 | 18242 KAYLA LANE HARLINGEN, TX 78552 | ALLSTATE BENEFITS | $515 | — | $515 | 0.28% |
| LEONEL RUIZ3 | 1150 EBANO STREET SAN BENITO, TX 78586 | ALLSTATE BENEFITS | $302 | — | $302 | 0.16% |
| ALLEN COMMODORE BAKER3 | 6200 SAVOY DR STE 345 HOUSTON, TX 77036 | ALLSTATE BENEFITS | $301 | — | $301 | 0.16% |
| JUSTIN LEBLANC3 | 209 BELLAGIO DR LAKEWAY, TX 78734 | ALLSTATE BENEFITS | $220 | — | $220 | 0.12% |
| MICHAEL ANTHONY CHANDLER3 Filed as: MICHAEL CHANDLER | 3314 VALLEY CRK SAN ANTONIO, TX 78261 | ALLSTATE BENEFITS | $204 | — | $204 | 0.11% |
| TRINIDAD ROSALES3 | 477 BROOKHOLLOW NEW BRAUNFELS, TX 78132 | ALLSTATE BENEFITS | $188 | — | $188 | 0.10% |
| GARY M HARDEMAN3 Filed as: GARY HARDEMAN | 16810 CORALBEND DR HOUSTON, TX 77095 | ALLSTATE BENEFITS | $167 | — | $167 | 0.09% |
| BRYAN INGLIS3 | 6122 GARDEN LAKES LANE SUGARLAND, TX 77479 | ALLSTATE BENEFITS | $135 | — | $135 | 0.07% |
| DALLAS MORENO3 | 6200 SAVOY DR STE 345 HOUSTON, TX 77036 | ALLSTATE BENEFITS | $120 | — | $120 | 0.06% |
| KYLE MATTHEW CLEMENT3 | 3229 INDIAN TRL FLOWER MOUND, TX 75022 | ALLSTATE BENEFITS | $108 | — | $108 | 0.06% |
| MARK SCOTT OSTASZEWSKI3 | 23618 ORTENSIA STREET RICHMOND, TX 77406 | ALLSTATE BENEFITS | $103 | — | $103 | 0.06% |
| ALLISON A WISE3 | 2801 WATERWALL DR #143 HOUSTON, TX 77056 | ALLSTATE BENEFITS | $45 | — | $45 | 0.02% |
| GUADALUPE M RUIZ JR3 Filed as: GUADALUPE MONTES RUIZ JR | PO BOX 858 LYFORD, TX 78569 | ALLSTATE BENEFITS | $9 | — | $9 | 0.00% |
| WILLIAM PARKS3 | 3788 RICHMOND AVE APT 1419 HOUSTON, TX 77046 | ALLSTATE BENEFITS | $8 | — | $8 | 0.00% |
| JAMES RICE3 | 5749 SEA BREEZE LN FT WORTH, TX 76135 | ALLSTATE BENEFITS | $7 | — | $7 | 0.00% |
| CONSTANCIO RUIZ3 Filed as: CONSTANCIO RUIZ JR | 18242 KAYLA LANE HARLINGEN, TX 78552 | ALLSTATE BENEFITS | $3 | — | $3 | 0.00% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY STE 300 DEER PARK, IL 60010 | METROPOLITAN LIFE INSURANCE COMPANY | $12K | $3K | $15K | 12.81% |
| THE PLEXUS GROUPE LLC3 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | EYEMED | $1K | — | $1K | 9.16% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| PAN-AMERICAN LIFE ADMINISTRATOR | Claims processing; Contract Administrator Service code 12 | 601 POYDRAS ST NEW ORLEANS, LA 70130 | $49K |
| PAN-AMERICAN BENEFIT SOLUTIONS ADMINISTRATOR | Contract Administrator; Claims processing Service code 12 | 1778 NO PLANO RD STE 310 RICHARDSON, TX 75081 | $21K |
| THE PLEXUS GROUPE LLC BROKER | Insurance brokerage commissions and fees Service code 53 | 21805 FIELD PARKWAY SUITE 300 DEER PARK, IL 60010 | $14K |
| RXEDO ADMINISTRATOR | Claims processing Service code 12 | PO BOX 678586 DALLAS, TX 75081 | $77 |
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 | 737 | 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) | 737 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | PAN-AMERICAN LIFE INSURANCE COMPANY | 382 | $424K |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 446 | $121K |
| Vision | EYEMED | 248 | $14K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 446 | — |
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.