| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| NEXT LEVEL INSURANCE AGENCY, LLC3 | 5080 SPECTRUM DR. STE. 1200E ADDISON, TX 75001 | UNITED HEALTHCARE | $8K | — | $8K | 5.60% |
| CHERI DAWN STAFFORD3 | 4306 FAITH RD WICHITA FALLS, TX 76308 | AFLAC | $3K | $125 | $3K | 8.23% |
| NEXT LEVEL INSURANCE AGENCY, LLC3 | 5080 SPECTRUM DR. STE. 1200E ADDISON, TX 75001 | AFLAC | $2K | — | $2K | 5.68% |
| DEVYN MARTINEZ3 | 1601 32ND ST APT 522 WICHITA FALLS, TX 76302 | AFLAC | $1K | $126 | $1K | 2.80% |
| TRISHA MECHELLE CARLISLE3 | 410 N THRESSA ST HENRIETTA, TX 76365 | AFLAC | $673 | $126 | $799 | 1.91% |
| SANDRA ANITA GANT3 | 2408 BARBADOS WICHITA FALLS, TX 76308 | AFLAC | $734 | — | $734 | 1.76% |
| FARRAH SHAH3 | 5901 BELL ST STE C24 AMARILLO, TX 79109 | AFLAC | $397 | — | $397 | 0.95% |
| TRAVIS GEORGE REEDY3 | 22420 S BLESSEN RD CANYON, TX 79015 | AFLAC | $238 | $66 | $304 | 0.73% |
| BARRY RANDALL SCOTT3 | 12008 CHOCTAW RD PAINT ROCK, TX 76866 | AFLAC | $232 | — | $232 | 0.55% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC | 900 8TH ST STE 304 WICHITA FALLS, TX 76301 | AFLAC | $87 | — | $87 | 0.21% |
| PAMELA MARIE HALL3 | 3 MARELLA TER WICHITA FALLS, TX 76309 | AFLAC | $76 | — | $76 | 0.18% |
| KENNETH B ISBELL3 | 905 W COLLEGE ST JACKSBORO, TX 76458 | AFLAC | $70 | — | $70 | 0.17% |
| SHY LOWE MIDDLETON3 | 105 W ANDERSON ST BROWNWOOD, TX 76801 | AFLAC | $67 | — | $67 | 0.16% |
| JOHN W MEECH3 | 20651 FM 1062 CANYON, TX 79015 | AFLAC | $51 | — | $51 | 0.12% |
| YOLANDA L WILSON3 | 5501 LUCKY LN WICHITA FALLS, TX 76306 | AFLAC | $50 | — | $50 | 0.12% |
| DON CALDWELL3 | PO BOX 682 WICHITA FALLS, TX 76307 | AFLAC | $41 | — | $41 | 0.10% |
| VERNON P HERRERA3 Filed as: VERNON HERRERA | 120 VALLE SERENO SANTA FE, NM 87506 | AFLAC | $37 | — | $37 | 0.09% |
| JANIE VELDE BENEFITS GROUP LLC3 Filed as: JANIE VELDE BENEFITS GROUP | 1900 WICKERSHAM LN CORINTH, TX 76210 | AFLAC | $32 | — | $32 | 0.08% |
| KEVIN D GOODMAN3 | 749 GATEWAY BLDG D ABILENE, TX 79602 | AFLAC | $31 | — | $31 | 0.07% |
| AMANDA LEAH RISNER3 | 6849 ELM ST FRISCO, TX 75034 | AFLAC | $28 | — | $28 | 0.07% |
| SCOTT WEBB3 | 26729 N 91ST DR PEORIA, AZ 85383 | AFLAC | $27 | — | $27 | 0.06% |
| TROY W HUNT3 | 9908 BITTERFOOT DR LITTLE ELM, TX 75068 | AFLAC | $26 | — | $26 | 0.06% |
| GAYLA DAWN CRUIKSHANK3 | 2227 SLEEPY HOLLOW TRL FRISCO, TX 75033 | AFLAC | $25 | — | $25 | 0.06% |
| ALLEN FINANCIAL GROUP3 Filed as: T ALLEN HOWDESHELL | 1405 SHANNAN CIR APT 103 GRANBURY, TX 76048 | AFLAC | $24 | — | $24 | 0.06% |
| MARY L WILLIAMS3 | 105 PRIVATE RD 3407 BRIDGEPORT, TX 76426 | AFLAC | $24 | — | $24 | 0.06% |
| CRAIG S DAVIES3 | 531 SANDY LN FLOWER MOUND, TX 75022 | AFLAC | $22 | — | $22 | 0.05% |
| FRANKLIN R DAVIES3 | 201 ROYAL ABERDEEN WAY MCKINNEY, TX 75072 | AFLAC | $21 | — | $21 | 0.05% |
| JOHN M JOHNSON3 | 2150 W NORTHWEST HWY STE 114 GRAPEVINE, TX 76051 | AFLAC | $21 | — | $21 | 0.05% |
| LISA A JOHNSON3 Filed as: LISA ANN JOHNSON | 3755 FM 367 E IOWA PARK, TX 76367 | AFLAC | $10 | — | $10 | 0.02% |
| FRANK D LAFEMINA3 | 165 S GUADALUPE ST STE 120 SAN MARCOS, TX 78666 | AFLAC | $7 | — | $7 | 0.02% |
| MARCO JOE KLIMEK3 | 5729 LEBANON RD ST 144590 FRISCO, TX 75034 | AFLAC | $5 | — | $5 | 0.01% |
| H PATRICK BRUMLEY3 | 1524 TWISTLEAF RD ARGYLE, TX 76225 | AFLAC | $5 | — | $5 | 0.01% |
| WILLIAM R WHITTEN3 | 6200 CURZON AVE FORT WORTH, TX 76116 | AFLAC | $3 | — | $3 | 0.01% |
| JEREMIAH D SMITH3 | 209 BARRINGTON LN LEWISVILLE, TX 75067 | AFLAC | $3 | — | $3 | 0.01% |
| ANDERSON C THOMPSON3 | 4001 TRENT PINES DR NEW BERN, NC 28562 | AFLAC | $3 | — | $3 | 0.01% |
| JASON L WEEKS3 | 14680 COUNTY RD 481 VAN ALSTYNE, TX 75495 | AFLAC | $2 | — | $2 | 0.00% |
| ZACHARY K JOHNSON3 | 4447 N CENTRAL EXPY STE 110 DALLS, TX 75205 | AFLAC | $1 | — | $1 | 0.00% |
| WENDY CRUZ3 | 3560 ELM BOTTOM CIR AUBREY, TX 76227 | AFLAC | $1 | — | $1 | 0.00% |
| SHELLY WIEGAND3 | 1933 THISTLE PARK DR #06214-2 FORT WORTH, TX 76110 | AFLAC | $1 | — | $1 | 0.00% |
| NEXT LEVEL INSURANCE AGENCY, LLC3 | 5080 SPECTRUM DR. STE. 1200E ADDISON, TX 75001 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $4K | — | $4K | 15.41% |
| ASD INSURANCE AND FINANCIAL SERVICE3 | 12404 PARK CENTRAL DR STE 400S DALLAS, TX 75251 | SUN LIFE ASSURANCE COMPANY | $38 | — | $38 | 5.42% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INSURANCE SERVICES | 354 EISENHOWER PKWY ST 2850 LIVINGSTON, NJ 07039 | SUN LIFE ASSURANCE COMPANY | $38 | — | $38 | 5.42% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES | 550 S CALDWELL ST STE 1500 CHARLOTTE, NC 28202 | SUN LIFE ASSURANCE COMPANY | $21 | — | $21 | 3.00% |
| MARSH & MCLENNAN AGENCY LLC3 | 7701 AIRPORT CENTER DR STE 1800 GREENSBORO, NC 27409 | SUN LIFE ASSURANCE COMPANY | $18 | — | $18 | 2.57% |
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 | 54 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 54 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITED HEALTHCARE | 17 | $151K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 46 | $29K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 46 | $29K |
| Life insurance(2 contracts, 2 carriers) | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 46 | $30K |
| Short-term disability | AFLAC | 38 | $42K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 46 | — |
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."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.