| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBC BENEFITS LTD3 | 2409 FOREST PARK BLVD 2ND FLOOR FORT WORTH, TX 76110 | AETNA LIFE INSURANCE CO. | $51K | $0 | $51K | 5.30% |
| GBC BENEFITS LTD3 | 2409 FOREST PARK BLVD 2ND FLOOR FORT WORTH, TX 76110 | UNION SECURITY INSURANCE COMPANY | $2K | $170 | $2K | 10.90% |
| GBC BENEFITS LTD3 | 2409 FOREST PARK BLVD 2ND FL FT WORTH, TX 76110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $237 | $3K | 16.49% |
| GBC BENEFITS LTD3 | 2409 FOREST PARK BLVD 2ND FL FT WORTH, TX 76110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $227 | $3K | 16.50% |
| GBC BENEFITS LTD3 | 2409 FOREST PARK BLVD 2ND FLOOR FORT WORTH, TX 76110 | AFLAC | $713 | $0 | $713 | 5.33% |
| DAVID R FISHER3 | 2409 FOREST PARK BLVD FORT WORTH, TX 76110 | AFLAC | $427 | $0 | $427 | 3.19% |
| KATHY M RAWLS3 | PO BOX161734 FORT WORTH, TX 76161 | AFLAC | $194 | $0 | $194 | 1.45% |
| DARRELL L HOLLEY3 | 1807 COLLIER ST AUSTIN, TX 78704 | AFLAC | $126 | $0 | $126 | 0.94% |
| JOHN M JOHNSON3 | 2150 W NORTHWEST HWY STE 114 GRAPEVINE, TX 76051 | AFLAC | $28 | $0 | $28 | 0.21% |
| DONNA D LASKOSKIE3 Filed as: DONNA LASKOSKIE | 4515 WILDWOOD CIR GRANDBURY, TX 76049 | AFLAC | $17 | $0 | $17 | 0.13% |
| MARY L WILLIAMS3 | 1102 STEVENS ST STE 1 BRIDGEPORT, TX 76426 | AFLAC | $12 | $0 | $12 | 0.09% |
| MARCO JOE KLIMEK3 | 1501 LYNDON B JOHNSON HWY STE 660 DALLAS, TX 75234 | AFLAC | $11 | $0 | $11 | 0.08% |
| ROBERT SHEPARD COOPER3 | PO BOX 609 SANGER, TX 76266 | AFLAC | $2 | $0 | $2 | 0.01% |
| TAMMI LAVOICE COOPER3 | PO BOX 609 SANGER, TX 76266 | AFLAC | $2 | $0 | $2 | 0.01% |
| DONNA D LASKOSKIE3 Filed as: DONNA LASKOSKIE | 6213 EDWARDS VIEW CT APT 1728 FORT WORTH, TX 76132 | AFLAC | $2 | $0 | $2 | 0.01% |
| GBC BENEFITS LTD3 | 2409 FOREST PARK BLVD 2ND FLOOR FORT WORTH, TX 76110 | UNION DENTAL CARE OF TEXAS, INC. | $1K | $101 | $1K | 10.96% |
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 | 120 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 4 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 124 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | AETNA LIFE INSURANCE CO. | 155 | $957K |
| Dental(2 contracts, 2 carriers) | UNION SECURITY INSURANCE COMPANY | 62 | $29K |
| Life insurance | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 162 | $15K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 162 | $16K |
| Other(2 contracts, 2 carriers) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 162 | $29K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 162 | — |
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.