| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | — | BLUECROSS BLUESHIELD OF TEXAS | $74K | $3K | $77K | 2.89% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 0.74% |
| RODGER LINCOLN WELLS3 | 415 WEST WALL STREET SUITE 1818 MIDLAND, TX 79707 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 0.55% |
| BENNETT G COOK IV3 Filed as: BENNETT GORDON COOK | 9202 TURNER AVENUE LUBBOCK, TX 79424 | CONTINENTAL AMERICAN INSURANCE COMPANY | $761 | — | $761 | 0.27% |
| PATRICIA LYNN WIDNER3 | 4925 RUSTIC TRAIL MIDLAND, TX 79707 | CONTINENTAL AMERICAN INSURANCE COMPANY | $324 | — | $324 | 0.11% |
| DAVID WOOD3 Filed as: DAVID BRYAN BRILEY | 3224 DELANO ROAD MIDLAND, TX 79701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $195 | — | $195 | 0.07% |
| MATTHEW D ALLISON3 Filed as: MATTHEW D ALLSION | 4630 NORTH LOOP 1604 WEST SAN ANTONIO, TX 78249 | CONTINENTAL AMERICAN INSURANCE COMPANY | $42 | — | $42 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 95287 CHICAGO, IL 60694 | AMERITAS LIFE INSURANCE CORP. | $4K | — | $4K | 2.15% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | 2850 GOLF ROAD FLOOR 21 ROLLING MEDOWS, IL 60008 | AMERITAS LIFE INSURANCE CORP. | — | $2K | $2K | 1.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | DEARBORN LIFE INSURANCE COMPANY | $16K | — | $16K | 9.51% |
| REUBEN WARNER ASSOCIATES, INC.3 Filed as: WARNER PACIFIC INSURANCE SERVICES I | 32110 AGOURA ROAD WESTLAKE VILLAGE, CA 91361 | DEARBORN LIFE INSURANCE COMPANY | — | $4K | $4K | 2.13% |
| THE ASHMORE AGENCY, INC.3 Filed as: THE ASHMORE AGENCY INC | 6102 82ND STREET #6 LUBBOCK, TX 79424 | DEARBORN LIFE INSURANCE COMPANY | — | $2K | $2K | 1.29% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | DBA ASHMORE AND ASSOCIATES AGENCY 5312 114TH STREET LUBBOCK, TX 79424 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 9.99% |
| BRYAN S GARVIN3 | 6102 82ND STREET BUILDING #6 LUBBOCK, TX 79424 | TRANSAMERICA LIFE INSURANCE COMPANY | $72 | — | $72 | 1.12% |
| TOTAL BENEFIT SOLUTIONS3 | 3402 73RD STREET UNIT F LUBBOCK, TX 79423 | TRANSAMERICA LIFE INSURANCE COMPANY | $63 | — | $63 | 0.98% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCYINC | 8008 SLIDE ROAD SUITE 14 LUBBOCK, TX 79424 | TRANSAMERICA LIFE INSURANCE COMPANY | $9 | — | $9 | 0.14% |
| ROBERT Q BOOTHE3 Filed as: ROBERT Q BOOTYHE | P O BOX 60130 SAN ANGELO, TX 76906 | TRANSAMERICA LIFE INSURANCE COMPANY | $6 | — | $6 | 0.09% |
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 | 273 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 274 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 403 | $2.7M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 503 | $187K |
| Vision(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 262 | $202K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 262 | $175K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 262 | $168K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 262 | $168K |
| Other(2 contracts, 2 carriers) | CONTINENTAL AMERICAN INSURANCE COMPANY | 262 | $451K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 503 | — |
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."
No prospect flags tripped on this filing.