| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | BLUECROSS BLUESHIELD OF TEXAS | $162K | — | $162K | 4.85% |
| CBS INSURANCE LLP3 | 3005 S TREADAWAY BLVD ABILENE, TX 79602 | BLUECROSS BLUESHIELD OF TEXAS | — | $3K | $3K | 0.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 5420 LBJ FREEWAY STE 400 DALLAS, TX 75240 | UNITEDHEALTHCARE INSURANCE COMPANY | $15K | — | $15K | 15.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PARK CENTRAL 7, 12750 MERIT DR. STE 1000 DALLAS, TX 75251 | UNITEDHEALTHCARE INSURANCE COMPANY | $10K | $1K | $11K | 11.49% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3K | — | $3K | 12.21% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TN 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $303 | — | $303 | 1.21% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $292 | — | $292 | 1.17% |
| JAMES T LEE INSURANCE AGENCY3 | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $82 | — | $82 | 0.33% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $68 | — | $68 | 0.27% |
| JEFERSON DRUMMOND JR.3 | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $46 | — | $46 | 0.18% |
| CANTU XAVIER3 | 8711 CREEKLAND VIEW DR. APT 13106 KELLER, TX 76244 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $45 | — | $45 | 0.18% |
| JEFERSON DRUMMOND JR.3 Filed as: JEFERSON DRUMMOND | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7 | — | $7 | 0.03% |
| FOUNDATION BENEFITS LLC3 | PO BOX 85 WEST, TN 76691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.01% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | VISION SERVICE PLAN | $1K | — | $1K | 5.06% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2K | — | $2K | 12.86% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $150 | — | $150 | 1.13% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $144 | — | $144 | 1.08% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $65 | — | $65 | 0.49% |
| JAMES T LEE INSURANCE AGENCY3 | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $29 | — | $29 | 0.22% |
| CANTU XAVIER3 | 8711 CREEKLAND VIEW DR. APT 13106 KELLER, TX 76244 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $15 | — | $15 | 0.11% |
| JEFERSON DRUMMOND JR.3 | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $13 | — | $13 | 0.10% |
| JEFERSON DRUMMOND JR.3 Filed as: JEFERSON DRUMMOND | 4740 TRAIL LAKE DRIVE FORT WORTH, TX 761331232 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $11 | — | $11 | 0.08% |
| FOUNDATION BENEFITS LLC3 | PO BOX 85 WEST, TX 76691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 9.94% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $98 | — | $98 | 0.80% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $94 | — | $94 | 0.77% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $22 | — | $22 | 0.18% |
| DRUMMOND JEFERSON JR.3 | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.07% |
| FOUNDATION BENEFITS LLC3 | PO BOX 85 WEST, TX 76691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| JAMES T LEE INSURANCE AGENCY3 | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.01% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 10.76% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $89 | — | $89 | 0.81% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TN 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $56 | — | $56 | 0.51% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $51 | — | $51 | 0.46% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $49 | — | $49 | 0.45% |
| COPELAND FINL SVCS INC3 Filed as: COPELAND FINANCIAL SVCS INC. | 4701 ALTAMESA BLVD. STE 2M FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.11% |
| JAMES T LEE INSURANCE AGENCY3 | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.03% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 13.44% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $113 | — | $113 | 1.14% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $108 | — | $108 | 1.09% |
| JAMES T LEE INSURANCE AGENCY3 | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $54 | — | $54 | 0.54% |
| CANTU XAVIER3 | 8711 CREEKLAND VIEW DR. APT 13106 KELLER, TX 76244 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $39 | — | $39 | 0.39% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SERVICES INC. | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $29 | — | $29 | 0.29% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 11.06% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $116 | — | $116 | 1.19% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $110 | — | $110 | 1.12% |
| JEFERSON DRUMMOND JR.3 | 4740 TRAIL LAKE DR. FORTH WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $44 | — | $44 | 0.45% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $43 | — | $43 | 0.44% |
| CANTU XAVIER3 | 8711 CREEKLAND VIEW DR. APT 13106 KELLER, TX 76244 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $33 | — | $33 | 0.34% |
| JAMES T LEE INSURANCE AGENCY3 | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $8 | — | $8 | 0.08% |
| NBI & ASSOCIATES LLC3 Filed as: NBI & ASSOCIATES, LLC | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 15.49% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $57 | — | $57 | 0.65% |
| JAMES T LEE INSURANCE AGENCY3 Filed as: JAMES T LEE INSURANCE | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.16% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1K | — | $1K | 13.86% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: GALLAGHER BENEFIT SVCS INC | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $79 | — | $79 | 0.90% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $15 | — | $15 | 0.17% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.16% |
| JAMES T LEE INSURANCE AGENCY3 | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $14 | — | $14 | 0.16% |
| JEFERSON DRUMMOND JR.3 | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7 | — | $7 | 0.08% |
| CANTU XAVIER3 | 8711 CREEKLAND VIEW DR. APT 13106 KELLER, TX 76244 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.05% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $112 | — | $112 | 1.45% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $68 | — | $68 | 0.88% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $50 | — | $50 | 0.65% |
| CANTU XAVIER3 | 8711 CREEKLAND VIEW DR. APT 13106 KELLER, TX 76244 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.16% |
| JEFERSON DRUMMOND JR.3 | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $10 | — | $10 | 0.13% |
| JEFERSON DRUMMOND JR.3 Filed as: JEFERSON DRUMMOND | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.12% |
| COPELAND FINL SVCS INC3 Filed as: COPELAND FINANCIAL SERVICES | 4701 ALTAMESA BLVD. STE 2M FORTH WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $4 | — | $4 | 0.05% |
| FOUNDATION BENEFITS LLC3 | PO BOX 85 WEST, TX 76691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $3 | — | $3 | 0.04% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $103 | — | $103 | 1.56% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $59 | — | $59 | 0.89% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $50 | — | $50 | 0.76% |
| CANTU XAVIER3 | 8711 CREEKLAND VIEW DR. APT 13106 KELLER, TX 76244 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $20 | — | $20 | 0.30% |
| JEFERSON DRUMMOND JR.3 | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $9 | — | $9 | 0.14% |
| COPELAND FINL SVCS INC3 Filed as: COPELAND FINANCIAL SVCS INC. | 4701 ALTAMESA BLVD STE 2M FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $7 | — | $7 | 0.11% |
| MARY R HAUGHT3 | 2034 N ESTRELLA AVE. LOVELAND, CO 80538 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2 | — | $2 | 0.03% |
| JAMES T LEE INSURANCE AGENCY3 Filed as: JAMES T LEE INSURANCE | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2 | — | $2 | 0.03% |
| JEFERSON DRUMMOND JR.3 Filed as: JEFERSON DRUMMOND | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.02% |
| FOUNDATION BENEFITS LLC3 | PO BOX 85 WEST, TX 76691 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.02% |
| NBI & ASSOCIATES LLC3 | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $37 | — | $37 | 1.72% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $17 | — | $17 | 0.79% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.56% |
| COPELAND FINL SVCS INC3 Filed as: COPELAND FINANCIAL SVCS INC. | 4701 ALTAMESA BLVD. STE 2M FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $6 | — | $6 | 0.28% |
| JEFERSON DRUMMOND JR.3 | 4740 TRAIL LAKE DR. FORT WORTH, TX 76133 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $2 | — | $2 | 0.09% |
| NBI & ASSOCIATES LLC3 Filed as: NBI & ASSOCIATES, LLC | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $368 | — | $368 | 21.17% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 0.69% |
| JAMES T LEE INSURANCE AGENCY3 | 1426 BRAZOS BLVD LEWISVILLE, TX 75077 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $1 | — | $1 | 0.06% |
| NBI & ASSOCIATES LLC3 Filed as: NBI & ASSOCIATES, LLC | PO BOX 2529 588 BURLESON, TX 76097 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $39 | — | $39 | 8.25% |
| JAMES ARTHUR VOLLMER3 Filed as: JAMES A VOLLMER | 401 NORTH CARROLL STE 207 SOUTHLAKE, TX 76092 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $13 | — | $13 | 2.75% |
| BRYAN INSURANCE AGENCY3 | PO BOX 839 GRAHAM, TX 76450 | AMERICAN HERITAGE LIFE INSURANCE COMPANY | $12 | — | $12 | 2.54% |
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 | 245 | 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) | 245 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 386 | $3.3M |
| Dental | UNITEDHEALTHCARE INSURANCE COMPANY | 327 | $97K |
| Vision | VISION SERVICE PLAN | 154 | $24K |
| Life insurance(4 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 310 | $114K |
| Short-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 310 | $98K |
| Long-term disability | UNITEDHEALTHCARE INSURANCE COMPANY | 310 | $98K |
| Other(11 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 310 | $199K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 386 | — |
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.