| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL R DYSON | — | BLUE CROSS BLUE SHIELD OF TEXAS | $11K | $660 | $12K | 4.52% |
| SANDRA ANITA GANT | 6003 LACI LANE WICHITA FALLS, TX 76310 | AFLAC | $1K | $121 | $1K | 7.49% |
| BOLEY FEATHERSTON HUFFMAN & DEAL CO Filed as: BOLEY FETHERSTON HUFFMAN AND DEAL | 900 EIGHTH ST STE 510 WICHITA FALLS, TX 76301 | AFLAC | $668 | $58 | $726 | 3.93% |
| PAMELA MARIE HALL | #3 MARELLA TERRACE WICHITA FALLS, TX 76309 | AFLAC | $203 | $42 | $245 | 1.32% |
| MARY L WILLIAMS | 1102 STEVENS ST STE 1 BRIDGEPORT, TX 76426 | AFLAC | $98 | $38 | $136 | 0.74% |
| KEVIN D GOODMAN | 749 GATEWAY BLDG D ABILENE, TX 79602 | AFLAC | $120 | $5 | $125 | 0.68% |
| KENNETH B ISBELL | 132 MOCKINGBIRD LANE JACKSBORO, TX 76458 | AFLAC | $86 | $0 | $86 | 0.46% |
| T ALLEN HOWDESHELL | 1405 SHANNAN CIR APT 103 GRANBURY, TX 76048 | AFLAC | $74 | $0 | $74 | 0.40% |
| MARCO JOE KLIMEK | 1501 LYNDON B JOHNSON FWY STE 660 DALLAS, TX 75234 | AFLAC | $23 | $37 | $60 | 0.32% |
| STEVE WHITTEN | 7606 UNIVERSITY AVE STE F LUBBOCK, TX 79423 | AFLAC | $49 | $5 | $54 | 0.29% |
| VERNON P HERRERA | PO BOX 310 SANTA FE, NM 87504 | AFLAC | $43 | $0 | $43 | 0.23% |
| BARRY RANDALL SCOTT | 3201 WATTS RD IOWA PARK, TX 76367 | AFLAC | $42 | $0 | $42 | 0.23% |
| YOLANDA L WILSON | 5501 LUCKY LN WICHITA FALLS, TX 76306 | AFLAC | $20 | $15 | $35 | 0.19% |
| FRANKLIN R DAVIES | 201 ROYAL ABBERDEEN WAY MCKINNEY, TX 75070 | AFLAC | $30 | $0 | $30 | 0.16% |
| LISA A JOHNSON | 3775 FM 367 E IOWA PARK, TX 79367 | AFLAC | $27 | $0 | $27 | 0.15% |
| CRAIG S DAVIES | 109 TIMBER CREEK CT ARGYLE, TX 76226 | AFLAC | $27 | $0 | $27 | 0.15% |
| JOHN M JOHNSON | 2150 W NORTHWEST HWY STE 114 GRAPEVINE, TX 75234 | AFLAC | $22 | $0 | $22 | 0.12% |
| SCOTT WEBB | 2355 W PINNACLE PEAK RD STE 380 PHOENIX, AZ 85027 | AFLAC | $22 | $0 | $22 | 0.12% |
| T ALLEN HOWDESHELL | 2400 STATE HIGHWAY 121 APT 2403 EULESS, TX 76039 | AFLAC | $20 | $0 | $20 | 0.11% |
| KRISTEL ZIMPEL | PO BOX 1071 WICHITA FALLS, TX 76307 | AFLAC | $20 | $0 | $20 | 0.11% |
| LOYD G LAWSON | 2001 COMMUNITY LN MIDLAND, TX 79701 | AFLAC | $20 | $0 | $20 | 0.11% |
| FRANK D LAFEMINA | 165 S GUADALUPE ST STE 120 SAN MARCOS, TX 78666 | AFLAC | $20 | $0 | $20 | 0.11% |
| ANDERSON C THOMPSON | 4001 TRENT PINES DR NEW BERN, NC 28562 | AFLAC | $13 | $0 | $13 | 0.07% |
| JEREMIAH D SMITH | 817 S DOGWOOD DR PAULS VALLEY, OK 73075 | AFLAC | $2 | $10 | $12 | 0.06% |
| JEREMIAH D SMITH | 5521 JAMES DR RIVER OAKS, TX 76114 | AFLAC | $12 | $0 | $12 | 0.06% |
| H PATRICK BRUMLEY | 4 GLENDALE CT TROPHY CLUB, TX 76262 | AFLAC | $9 | $0 | $9 | 0.05% |
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 | 63 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 63 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 45 | $265K |
| Dental(2 contracts, 2 carriers) | AFLAC | 34 | $36K |
| Life insurance(2 contracts, 2 carriers) | AFLAC | 34 | $36K |
| Short-term disability | AFLAC | 34 | $18K |
| Long-term disability | AFLAC | 34 | $18K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 45 | — |
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.
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.