| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 12750 MERIT DRIVE, SUITE 1000 DALLAS, TX 75251 | BLUECROSS BLUESHIELD OF TEXAS | $65K | $1K | $66K | 3.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 12750 MERIT DRIVE, SUITE 1000 DALLAS, TX 75251 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $26K | $984 | $27K | 11.37% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 NORTH CENTRAL EXPRESSWAY SUITE 550 PLANO, TX 75074 | RELIANCE STANDARD LIFE INSURANCE COMPANY | -$12 | $0 | -$12 | -0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | METROPOLITAN LIFE INSURANCE COMPANY | $11K | $73 | $12K | 9.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $2K | $2K | 1.24% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 NORTH CENTRAL EXPRESSWAY SUITE 550 PLANO, TX 75074 | METROPOLITAN LIFE INSURANCE COMPANY | $0 | $924 | $924 | 0.74% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 NORTH CENTRAL EXPRESSWAY SUITE 550 PLANO, TX 75074 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $603 | $0 | $603 | 5.00% |
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 | 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)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 193 | $2.0M |
| Dental | METROPOLITAN LIFE INSURANCE COMPANY | 273 | $125K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 273 | $125K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 119 | $242K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 119 | $242K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 119 | $242K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 193 | $2.0M |
| Other(2 contracts, 2 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 119 | $245K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 273 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.