| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| DAINES INSURANCE & FIN SERVICES LLP3 Filed as: DAINES INSURANCE & FINANCIAL SERVIC | 5806 SUMMERFIELD DR TEXARKANA, TX 75503 | HEALTH CARE SERVICES CORPORATION | $20K | $5K | $25K | 0.82% |
| DAINES INSURANCE & FIN SERVICES LLP3 Filed as: DAINES INSURANCE & FINANCIAL SERVIC | 5806 SUMMERFIELD DR TEXARKANA, TX 75503 | PRUDENTIAL FINANCIAL | $39K | — | $39K | 14.23% |
| EDDIE J DAINES3 | 5806 SUMMERFIELD DR. TEXARKANA, TX 75503 | TRANSAMERICA EMPLOYEE BENEFITS | $10K | — | $10K | 10.13% |
| DAINES INSURANCE & FIN SERVICES LLP3 Filed as: DAINES INSURANCE & FINANCIAL SERVIC | 5806 SUMMERFIELD DR TEXARKANA, TX 75503 | TRANSAMERICA EMPLOYEE BENEFITS | $601 | — | $601 | 0.58% |
| MICHAEL C CHAPMAN4 | 2150 PORTWOOD WAY FT. WORTH, TX 76179 | TRANSAMERICA EMPLOYEE BENEFITS | $95 | — | $95 | 0.09% |
| DENNIS MORGAN3 | P.O. BOX 517 FORDYCE, AR 71742 | TRANSAMERICA EMPLOYEE BENEFITS | $27 | — | $27 | 0.03% |
| DAINES INSURANCE & FIN SERVICES LLP3 Filed as: DAINES INSURANCE & FINANCIAL SERVIC | 5806 SUMMERFIELD DR TEXARKANA, TX 75503 | VISION SERVICE PLAN | $4K | — | $4K | 10.00% |
| DAINES INSURANCE & FIN SERVICES LLP Filed as: DAINES INSURANCE & FINANCIAL SERVIC | 5806 SUMMERFIELD DR. TEXARKANA, TX 75503 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| DAINES INSURANCE & FIN SERVICES LLP3 Filed as: DAINES INSURANCE & FINANCIAL SERVIC | 5806 SUMMERFIELD DR. TEXARKANA, TX 75503 | COLONIAL LIFE & ACCIDENT INS. CO. | $56 | — | $56 | 3.12% |
| SHAREE HOOPER3 | 349 GREENACRES BLVD BOSSIER CITY, LA 71111 | COLONIAL LIFE & ACCIDENT INS. CO. | $5 | — | $5 | 0.28% |
| STEPHEN FAWCETT3 | 2702 SHADY PINES RD. TEXARKANA, TX 75501 | COLONIAL LIFE & ACCIDENT INS. CO. | $3 | — | $3 | 0.17% |
| JOHN ROE3 | 42006 MILL CREEK RD MAGNOLIA, TX 77354 | COLONIAL LIFE & ACCIDENT INS. CO. | $2 | — | $2 | 0.11% |
| DOUG BARNETTE3 | 2505 SUGARHILL RD TEXARKANA, AR 71854 | COLONIAL LIFE & ACCIDENT INS. CO. | $2 | — | $2 | 0.11% |
| TAMMIE PEARSON3 | 216 E PIONEER ST. TEXARKANA, TX 75501 | COLONIAL LIFE & ACCIDENT INS. CO. | $1 | — | $1 | 0.06% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF TEXAS EIN 36-1236610 | Contract Administrator; Claims processing Service code 12 | 101 E LOOKOUT DRIVE RICHARDSON, TX 75082 | $259K |
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 | 558 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 16 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 574 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | HEALTH CARE SERVICES CORPORATION | 869 | $3.1M |
| Dental | HEALTH CARE SERVICES CORPORATION | 869 | $3.1M |
| Vision | VISION SERVICE PLAN | 200 | $40K |
| Life insurance(3 contracts, 2 carriers) | PRUDENTIAL FINANCIAL | 530 | $322K |
| Short-term disability | PRUDENTIAL FINANCIAL | 272 | $277K |
| Long-term disability | PRUDENTIAL FINANCIAL | 272 | $277K |
| Other(4 contracts, 4 carriers) | TRANSAMERICA EMPLOYEE BENEFITS | 530 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 869 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.