| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| COMPENSATION STRATEGIES GROUP OF TX3 Filed as: COMPENSATION STRATEGIES GRP OF TX | 101 SUMMIT AVENUE, SUITE 600 FORT WORTH, TX 76102 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $25K | $25K | 3.54% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 101 SUMMIT AVENUE, SUITE 600 FORT WORTH, TX 76102 | UNITEDHEALTHCARE INSURANCE COMPANY | $0 | $6K | $6K | 0.91% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 101 SUMMIT AVENUE, SUITE 600 FORT WORTH, TX 76102 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | $259 | $10K | 8.20% |
| TOTAL BENEFIT SOLUTIONS3 | 2527 86TH STREET LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $2K | $0 | $2K | 1.56% |
| DAVIS ALLEN AGENCY INC3 Filed as: DAVIS ALLEN AGENCY, INC. | 2527 86TH STREET LUBBOCK, TX 79423 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $0 | $91 | $91 | 0.07% |
| COMPENSATION STRATEGIES GROUP OF TX3 Filed as: COMPENSATION STRATEGIES GRP OF TX | 101 SUMMIT AVENUE, SUITE 600 FORT WORTH, TX 76102 | SUN LIFE ASSURANCE COMPANY OF CANADA | $4K | $0 | $4K | 5.96% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST, INC. | 101 SUMMIT AVENUE, SUITE 600 FORT WORTH, TX 76102 | SUN LIFE ASSURANCE COMPANY OF CANADA | $3K | $0 | $3K | 4.07% |
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 | 150 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 150 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 189 | $714K |
| Dental | SUN LIFE ASSURANCE COMPANY OF CANADA | 84 | $62K |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 107 | $127K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 107 | $127K |
| Prescription drug | UNITEDHEALTHCARE INSURANCE COMPANY | 189 | $714K |
| Other | UNUM LIFE INSURANCE COMPANY OF AMERICA | 107 | $127K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 189 | — |
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.