| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLSPRING BENEFITS INC3 Filed as: WELLSPRING INSURANCE | 124 OLD TOWN BOULEVARD NORTH SUITE 100 ARGLE, TX 76226 | UNITEDHEALTHCARE INSURANCE COMPANY | — | $21K | $21K | 4.82% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY, INC. | 124 OLD TOWN BOULEVARD NORTH SUITE 100 ARGYLE, TX 76226 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | $5K | — | $5K | 16.14% |
| AXA ASSISTANCE, USA3 Filed as: AXA ASSISTANCE | 122 SOUTH MICHIGAN AVENUE SUITE 1100 CHICAGO, IL 60603 | PRUDENTIAL INSURANCE COMPANY OF AMERICA | — | $38 | $38 | 0.12% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY | 124 OLD TOWN BOULEVARD SUITE 100 ARGYLE, TX 76226 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $432 | $3K | 12.06% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY | 124 OLD TOWN BOULEVARD NORTH SUITE 100 ARGYLE, TX 76226 | METROPOLITAN LIFE INSURANCE COMPANY | $2K | $117 | $2K | 10.83% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY | 124 OLD TOWN BOULEVARD SUITE 100 ARGYLE, TX 76226 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $818 | $150 | $968 | 11.97% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY IN | 124 OLD TOWN BOULEVARD NORTH SUITE 100 LATANA, TX 76226 | HUMANADENTAL INSURANCE COMPANY | $575 | — | $575 | 10.01% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 119 | $432K |
| Dental(3 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 102 | $47K |
| Vision | HUMANADENTAL INSURANCE COMPANY | 52 | $6K |
| Life insurance | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 102 | $32K |
| Other | PRUDENTIAL INSURANCE COMPANY OF AMERICA | 102 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 119 | — |
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.