| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| JAMES ARTHUR VOLLMER3 | 401 NORTH CARROLL AVENUE, SUITE 207 SOUTHLAKE, TX 76092 | BLUECROSS BLUESHIELD OF TEXAS | $11K | $10 | $11K | 1.74% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC | 7600 NORTH CAPITAL OF TEXAS HIGHWAY AUSTIN, TX 78731 | BLUECROSS BLUESHIELD OF TEXAS | $10K | — | $10K | 1.58% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 12750 MERIT DRIVE DALLAS, TX 75251 | BLUECROSS BLUESHIELD OF TEXAS | $5K | — | $5K | 0.88% |
| WEATHERBY-EISENRICH INC3 | 211 WEST BROADWAY ANDREWS, TX 79714 | BLUECROSS BLUESHIELD OF TEXAS | $5K | $10 | $5K | 0.75% |
| JAMES ARTHUR VOLLMER3 | 401 NORTH CARROLL AVE, SUITE 207 SOUTHLAKE, TX 76092 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | $904 | $4K | 6.01% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC. | 7600 NORTH CAPITAL OF TEXAS HIGHWAY AUSTIN, TX 78731 | PRINCIPAL LIFE INSURANCE COMPANY | $3K | — | $3K | 4.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 6 DESTA DRIVE, SUITE 5900 MIDLAND, TX 79705 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 2.14% |
| WEATHERBY-EISENRICH INC3 Filed as: WEATHERBY-EISENRICH INC. | 211 WEST BROADWAY STREET ANDREWS, TX 79714 | PRINCIPAL LIFE INSURANCE COMPANY | $1K | — | $1K | 1.98% |
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 | 95 | 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) | 95 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 146 | $627K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 159 | $65K |
| Vision | PRINCIPAL LIFE INSURANCE COMPANY | 159 | $65K |
| Life insurance | PRINCIPAL LIFE INSURANCE COMPANY | 159 | $65K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 146 | $627K |
| Other | PRINCIPAL LIFE INSURANCE COMPANY | 159 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 159 | — |
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.