| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | — | BLUECROSS BLUESHIELD OF TEXAS | $70K | $3K | $74K | 2.56% |
| CUSTOM BENEFIT SERVICES OF MIDLAND3 | TGAAR TOWER 24 SMITH ROAD SUITE 220 MIDLAND, TX 79705 | AMERITAS LIFE INSURANCE CORP. | $4K | — | $4K | 1.97% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | PO BOX 95287 CHICAGO, IL 60694 | AMERITAS LIFE INSURANCE CORP. | $1K | — | $1K | 0.67% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | DEARBORN LIFE INSURANCE COMPANY | $10K | — | $10K | 11.95% |
| THE ASHMORE AGENCY, INC.3 Filed as: THE ASHMORE AGENCY INC | 6102 82ND STREET #6 LUBBOCK, TX 79424 | DEARBORN LIFE INSURANCE COMPANY | — | $4K | $4K | 5.00% |
| RODGER LINCOLN WELLS3 Filed as: RODGER L WELLS | 415 WEST WALL STREET SUITE 1818 MIDLAND, TX 79701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $3K | — | $3K | 6.23% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFITS SERVICES INC | 111 VETERANS BOULEVARD SUITE 1130 METAIRIE, LA 70005 | CONTINENTAL AMERICAN INSURANCE COMPANY | $2K | — | $2K | 5.90% |
| BENNETT G COOK IV3 | 310 FRANKFORD AVENUE APARTMENT 108 LUBBOCK, TX 79416 | CONTINENTAL AMERICAN INSURANCE COMPANY | $929 | — | $929 | 2.30% |
| PATRICIA LYNN WIDNER3 Filed as: PATRICIA L WIDNER | 4925 RUSTIC TRAIL MIDLAND, TX 79707 | CONTINENTAL AMERICAN INSURANCE COMPANY | $709 | — | $709 | 1.76% |
| MATTHEW D ALLISON3 | 4630 NORTH LOOP 1604 WEST SAN ANTONIO, TX 78249 | CONTINENTAL AMERICAN INSURANCE COMPANY | $165 | — | $165 | 0.41% |
| DAVID WOOD3 Filed as: DAVID BRYAN BRILEY | 3224 DELANO ROAD MIDLAND, TX 79701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $43 | — | $43 | 0.11% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 5312 114TH STREET LUBBOCK, TX 79424 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $78 | $3K | 11.19% |
| TOTAL BENEFIT SOLUTIONS3 | 2527 86TH STREET LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $92 | — | $92 | 5.55% |
| 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 | $31 | — | $31 | 1.87% |
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 | 252 | 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) | 253 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 388 | $2.9M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 492 | $181K |
| Vision(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 243 | $110K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 243 | $81K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 243 | $81K |
| Other(3 contracts, 3 carriers) | DEARBORN LIFE INSURANCE COMPANY | 243 | $123K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 492 | — |
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.