| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GARY W DOSS3 Filed as: GARY WAYNE DOSS | — | BLUECROSS BLUESHIELD OF TEXAS | $28K | $780 | $29K | 4.43% |
| AMBER R HODGES3 | 1572 BARKSDALE DRIVE LEWISVILLE, TX 75077 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | — | $2K | 10.50% |
| GARY W DOSS3 | 4624 SAN MARCOS WAY FRISCO, TX 75034 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $853 | — | $853 | 4.50% |
| AMBER R HODGES3 | 1572 BARKSDALE DRIVE LEWISVILLE, TX 75077 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $819 | — | $819 | 7.12% |
| GARY W DOSS3 | 4624 SAN MARCOS WAY FRISCO, TX 75034 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $330 | — | $330 | 2.87% |
| GARY W DOSS3 | 4624 SAN MARCOS WAY FRISCO, TX 75034 | DEARBORN LIFE INSURANCE COMPANY | $729 | — | $729 | 11.09% |
| AMBER R HODGES3 | 1572 BARKSDALE DRIVE LEWISVILLE, TX 75077 | DEARBORN LIFE INSURANCE COMPANY | $173 | — | $173 | 2.63% |
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 | 126 | 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) | 126 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 126 | $661K |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 126 | $661K |
| Vision | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 98 | $11K |
| Life insurance(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 104 | $26K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 104 | $26K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 126 | — |
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.