| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, ITASCA, IL 60143 | UNITED HEALTHCARE INSURANCE COMPANY | $163K | — | $163K | 4.37% |
| GALLAGHER BENEFIT SERVICES, INC. | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $13K | — | $13K | 3.69% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE ITASCA, IL 60143 | UNION SECURITY INSURANCE COMPANY | $5K | — | $5K | 2.25% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 221 WEST 6TH STREET, SUITE 1980 AUSTIN, TX 78701 | CONTINENTAL AMERICAN INSURANCE COMPANY | $16K | — | $16K | 15.29% |
| GREGORY J WEEKS3 Filed as: GREGORY J. WEEKS | 1259 LOOP 337 NORTH, 2ND FLOOR NEW BRAUNFELS, TX 78130 | CONTINENTAL AMERICAN INSURANCE COMPANY | $934 | — | $934 | 0.91% |
| JEROME JEFFREY PESEK3 Filed as: JEROME J. PESEK | 330 TORRINGTON DRIVE AUSTIN, TX 78737 | CONTINENTAL AMERICAN INSURANCE COMPANY | $467 | — | $467 | 0.46% |
| JAMES ROB BLAKEY3 Filed as: JAMES BLAKEY | 13823 CROWN BLUFF SAN ANTONIO, TX 78216 | CONTINENTAL AMERICAN INSURANCE COMPANY | $186 | — | $186 | 0.18% |
| MICHAEL B DUECY3 Filed as: MICHAEL B. DUECY | 1011 LAUREL COVE BUDA, TX 78610 | CONTINENTAL AMERICAN INSURANCE COMPANY | $22 | — | $22 | 0.02% |
| HEATHER F SEIBERT3 Filed as: HEATHER F. SEIBERT | 192 HUTTON KYLE, TX 78640 | CONTINENTAL AMERICAN INSURANCE COMPANY | $11 | — | $11 | 0.01% |
| MJ INSURANCE Filed as: BRENT FORD AND VARIOUS AGENTS | 20345 REGENCY RUN GARDEN RIDGE, TX 78266 | CONTINENTAL AMERICAN INSURANCE COMPANY | $1 | — | $1 | 0.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 221 WEST 6TH STREET, SUITE 1980 AUSTIN, TX 78701 | HM LIFE INSURANCE COMPANY | $5K | — | $5K | 10.00% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 221 WEST 6TH STREET, SUITE 1980 AUSTIN, TX 78701 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 12.76% |
| GALLAGHER BENEFIT SERVICES, INC.3 | TWO PIERCE PLACE, 14TH FLOOR ITASCA, IL 60143 | UNUM LIFE INSURANCE COMPANY OF AMERICA | — | -$531 | -$531 | -2.52% |
| TIKIA CONSULTING GROUP INC3 Filed as: TIKIA CONSULTING GROUP INC. | 3525 NORTH CAUSEWAY BOULEVARD SUITE 815 METAIRIE, LA 70002 | AMERICAN FIDELITY ASSURANCE COMPANY | $962 | — | $962 | 6.75% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 221 WEST 6TH STREET, SUITE 1980 AUSTIN, TX 78701 | AMERICAN FIDELITY ASSURANCE COMPANY | $528 | — | $528 | 3.70% |
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 | 339 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 341 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 337 | $3.8M |
| Dental | UNION SECURITY INSURANCE COMPANY | 383 | $223K |
| Vision | HM LIFE INSURANCE COMPANY | 562 | $49K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 446 | $349K |
| Short-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 446 | $349K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 446 | $349K |
| Prescription drug(2 contracts, 2 carriers) | UNITED HEALTHCARE INSURANCE COMPANY | 337 | $3.7M |
| Other(3 contracts, 3 carriers) | RELIANCE STANDARD LIFE INSURANCE COMPANY | 446 | $472K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 562 | — |
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."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.