| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6102 82ND #6 LUBBOCK, TX 79424 | BLUECROSS BLUESHIELD OF TEXAS | $68K | $3K | $71K | 2.96% |
| CUSTOM BENEFIT SERVICES OF MIDLAND3 | 24 SMITH ROAD SUITE 220 MIDLAND, TX 79705 | AMERITAS LIFE INSURANCE CORP. | $5K | — | $5K | 2.87% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | DEARBORN LIFE INSURANCE COMPANY | $13K | — | $13K | 11.29% |
| THE ASHMORE AGENCY, INC.3 Filed as: THE ASHMORE AGENCY INC | 6102 82ND STREET #6 LUBBOCK, TX 79424 | DEARBORN LIFE INSURANCE COMPANY | $6K | — | $6K | 5.01% |
| CUSTOM BENEFIT SERVICES OF MIDLAND3 Filed as: CUSTOM BENEFITS SERVICES OF MIDLAND | 24 SMITH ROAD SUITE 220 MIDLAND, TX 79705 | AMERITAS LIFE INSURANCE CORP. | $4K | — | $4K | 4.46% |
| RODGER LINCOLN WELLS3 Filed as: RODGER L WELLS | 415 WEST WALL STREET SUITE 1818 MIDLAND, TX 79701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 9.31% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6102 82ND STREET #6 LUBBOCK, TX 79424 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1K | — | $1K | 7.08% |
| BENNETT G COOK IV3 | 310 FRANKFORD AVENUE APARTMENT 108 LUBBOCK, TX 79416 | CONTINENTAL AMERICAN INSURANCE COMPANY | $590 | — | $590 | 2.85% |
| PATRICIA LYNN WIDNER3 Filed as: PATRICIA L WIDNER | 4925 RUSTIC TRAIL MIDLAND, TX 79707 | CONTINENTAL AMERICAN INSURANCE COMPANY | $581 | — | $581 | 2.80% |
| MATTHEW D ALLISON3 | 2100 SOUTH POLK STREET AMARILLO, TX 79109 | CONTINENTAL AMERICAN INSURANCE COMPANY | $347 | — | $347 | 1.68% |
| TOTAL BENEFIT SOLUTIONS3 | 8008 SLIDE ROAD SUITE 14 LUBBOCK, TX 79424 | TRANSAMERICA LIFE INSURANCE COMPANY | $92 | — | $92 | 1.06% |
| BRYAN S GARVIN3 | 1031 ANDREWS HIGHWAY SUITE 305 MIDLAND, TX 79701 | TRANSAMERICA LIFE INSURANCE COMPANY | $88 | — | $88 | 1.02% |
| DAVIS ALLEN AGENCY INC3 | 8008 SLIDE ROAD SUITE 14 LUBBOCK, TX 79424 | TRANSAMERICA LIFE INSURANCE COMPANY | $20 | — | $20 | 0.23% |
| ROBERT Q BOOTHE3 | P O BOX 60130 SAN ANGELO, TX 76906 | TRANSAMERICA LIFE INSURANCE COMPANY | $9 | — | $9 | 0.10% |
| TOTAL BENEFIT SOLUTIONS3 | 2527 86TH STREET LUBBOCK, TX 79423 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $105 | — | $105 | 4.54% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 6102 82ND STREET BUILDING 6 LUBBOCK, TX 79424 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $70 | — | $70 | 3.03% |
| TOTAL BENEFIT SOLUTIONS3 | 2527 86TH STREET LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $111 | — | $111 | 6.36% |
| THE ASHMORE AGENCY, INC.3 Filed as: THE ASHMORE AGENCY INC | 6102 82ND STREET SUITE 6 LUBBOCK, TX 79424 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $37 | — | $37 | 2.12% |
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 | 216 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 1 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 218 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 343 | $2.4M |
| Dental(2 contracts) | AMERITAS LIFE INSURANCE CORP. | 208 | $262K |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 275 | $112K |
| Life insurance(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 275 | $121K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 275 | $112K |
| Other(5 contracts, 5 carriers) | DEARBORN LIFE INSURANCE COMPANY | 275 | $146K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 343 | — |
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.