| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 | 5057 KELLER SPRINGS ROAD SUITE 200 ADDISON, TX 75001 | BLUECROSS BLUESHIELD OF TEXAS | $35K | $405 | $36K | 5.40% |
| ACRISURE LLC3 | 5057 KELLER SPRING ROAD SUITE 200 ADDISON, TX 75001 | GUARDIAN | $25K | $5K | $30K | 15.44% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 582 E 36TH AVE STE 1201 BULVERDE, TX 78163 | AFLAC | $1K | — | $1K | 3.76% |
| DELPHINE B HUDDELSTON3 Filed as: DELPHINE HUDDELSTON | 2716 RIVER FOREST CT BEDFORD, TX 76021 | AFLAC | $791 | — | $791 | 2.64% |
| ZACHARY JOHNSON3 | 4447 N CENTRAL EXPY STE 110 PMB 200 DALLAS, TX 75205 | AFLAC | $220 | — | $220 | 0.73% |
| THOMAS G MONTGOMERY3 Filed as: THOMAS MONTGOMERY | PO BOX 231 CROWLEY, TX 76036 | AFLAC | $117 | — | $117 | 0.39% |
| JAMES DOWNES3 | 1109 RIDGEVIEW DR HEWITT, TX 76643 | AFLAC | $89 | — | $89 | 0.30% |
| SYLIVIA LARA3 | 2735 WESTERN HILLS DR LANCASTER, TX 75146 | AFLAC | $85 | — | $85 | 0.28% |
| GUSTAVO ARRIAGA II3 | 320 W CORK TREE DR ORANGE, CA 92865 | AFLAC | $71 | — | $71 | 0.24% |
| ALLEN MOORMAN AGENCY INC3 | 1621 RUGGED TRL MIDLOTHIAN, TX 76065 | AFLAC | $68 | — | $68 | 0.23% |
| CHRISTI HOLT3 | 863 MULLRANY DR COPPELL, TX 75019 | AFLAC | $48 | $20 | $68 | 0.23% |
| MARCO JOE KLIMEK3 Filed as: MARCO KLIMEK | 5729 LEBANON RD STE 144590 FRISCO, TX 75034 | AFLAC | $67 | — | $67 | 0.22% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL NORTHWEST LLC | PO BOX 10088 YAKIMA, WA 98909 | AFLAC | $45 | — | $45 | 0.15% |
| JASON ROBERTS3 | 2325 WHITMAN LN FLOWER MOUND, TX 75028 | AFLAC | $40 | $5 | $45 | 0.15% |
| TERESA L LEWIS3 Filed as: TERESA LEWIS | 408 S CYPRESS ST CARLSBAD, NM 88220 | AFLAC | $18 | — | $18 | 0.06% |
| JOHN E CUMMINGS3 Filed as: JOHN JOHNSON | 2150 W NORTHWEST HWY STE 114 GRAPEVINE, TX 76051 | AFLAC | $18 | — | $18 | 0.06% |
| SHNISE W NICHOLS3 Filed as: SHNISE NICHOLS | 645 ARLINGTON PARK CT SEAGOVILLE, TX 75159 | AFLAC | $16 | — | $16 | 0.05% |
| DAVID HUDDELSTON3 | 2716 RIVER FOREST CT BEDFORD, TX 76021 | AFLAC | $16 | — | $16 | 0.05% |
| PATRICIA R ALDAPE3 Filed as: PATRICIA ALDAPE | PO BOX 181515 ARLINGTON, TX 76096 | AFLAC | $15 | — | $15 | 0.05% |
| JEFFREY M SATTERLEE3 Filed as: JEFFREY SATTERLEE | 4351 JAGER DR NE STE B RIO RANCHO, NM 87144 | AFLAC | $13 | — | $13 | 0.04% |
| MICHAEL A MAYER3 Filed as: MICHAEL MAYER | 4406 CAMPOLINA LN PASCO, WA 99301 | AFLAC | $12 | — | $12 | 0.04% |
| THE BLUE ORANGE SOLUTIONS, LLC3 Filed as: THE BLUE ORANGE SOLUTIONS | 2435 N CENTRAL EXPY 12TH FL RICHARDSON, TX 75080 | AFLAC | $11 | — | $11 | 0.04% |
| CLARIBEL LUPE DELEON3 Filed as: CLARIBEL DELEON | 1109 RUNFIELD RD FORT WORTH, TX 76108 | AFLAC | $10 | — | $10 | 0.03% |
| T HOWDESHELL3 | 1405 SHANNAN CIRCLE APT 103 GRANBURY, TX 76048 | AFLAC | $9 | — | $9 | 0.03% |
| BENINTEL, LLC3 | 2535 N CENTRAL EXPY STE 1200 RICHARDSON, TX 75080 | AFLAC | $8 | — | $8 | 0.03% |
| MARJORIE LYNN SAENZ3 Filed as: MARJORIE SAENZ | 6221 FIELDCREST LN SACHSE, TX 75048 | AFLAC | $7 | — | $7 | 0.02% |
| DAVID W SCOTT3 Filed as: DAVID SCOTT | 695 ROADRUNNER TRL RIESEL, TX 76682 | AFLAC | $6 | — | $6 | 0.02% |
| KRISTY ANN MOOREHEAD3 Filed as: KRISTY MOOREHEAD | 300 WELCH DR ROYSE CTY, TX 75189 | AFLAC | $5 | — | $5 | 0.02% |
| MARY CATHERINE WILLIAMS3 Filed as: MARY WILLIAMS | 105 PRIVATE ROAD 3407 BRIDGEPORT, TX 76426 | AFLAC | $4 | — | $4 | 0.01% |
| ADVANCED BENEFIT SOLUTIONS INC3 | 100 OTTAWA AVENUE SW GRAND RAPIDS, MI 49503 | GLOBAL LIFE AND ACCIDENT INSURANCE COMPANY | $4K | — | $4K | 18.00% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 582 E 36TH AVE STE 1201 BULVERDE, TX 78163 | AFLAC | $525 | — | $525 | 4.35% |
| MAURICIO R PLATT3 Filed as: MAURICIO PLATT | 11839 STEPHENVILLE DR FRISCO, TX 75035 | AFLAC | $410 | — | $410 | 3.40% |
| DELPHINE B HUDDELSTON3 Filed as: DELPHINE HUDDELSTON | 2716 RIVER FOREST CT BEDFORD, TX 76021 | AFLAC | $281 | — | $281 | 2.33% |
| LOU HENRY COOPER3 Filed as: LOU COOPER | PO BOX 756 SANGER, TX 76266 | AFLAC | $89 | — | $89 | 0.74% |
| CRAIG S DAVIES3 Filed as: CRAIG DAVIES | 531 SANDY LN FLOWER MOUND, TX 75022 | AFLAC | $88 | — | $88 | 0.73% |
| JAMES DOWNES3 | 1109 RIDGEVIEW DR HEWITT, TX 76643 | AFLAC | $70 | — | $70 | 0.58% |
| ROBERT SHEPARD COOPER3 Filed as: ROBERT COOPER | PO BOX 609 SANGER, TX 76266 | AFLAC | $54 | — | $54 | 0.45% |
| ZACHARY JOHNSON3 | 4447 N CENTRAL EXPY STE 110 PMB 200 DALLAS, TX 75205 | AFLAC | $39 | — | $39 | 0.32% |
| H BRUMLEY3 | 1524 TWISTLEAF RD ARGYLE, TX 76226 | AFLAC | $25 | — | $25 | 0.21% |
| JASON ROBERTS3 | 2325 WHITMAN LN FLOWER MOUND, TX 75028 | AFLAC | $22 | — | $22 | 0.18% |
| GUSTAVO ARRIAGA II3 | 320 W CORK TREE DR ORANGE, CA 92865 | AFLAC | $21 | — | $21 | 0.17% |
| CHRISTI HOLT3 | 863 MULLRANY DR COPPELL, TX 75019 | AFLAC | $17 | — | $17 | 0.14% |
| BENINTEL, LLC3 | 2535 N CENTRAL EXPY STE 1200 RICHARDSON, TX 75080 | AFLAC | $15 | — | $15 | 0.12% |
| JEFFREY M SATTERLEE3 Filed as: JEFFREY SATTERLEE | 4351 JAGER DR NE STE B RIO RANCHO, NM 87144 | AFLAC | $3 | — | $3 | 0.02% |
| DAVID HUDDELSTON3 | 2716 RIVER FOREST CT BEDFORD, TX 76021 | AFLAC | $3 | — | $3 | 0.02% |
| WENDY CRUZ3 | 3560 ELM BOTTOM CIR AUBREY, TX 76227 | AFLAC | $1 | — | $1 | 0.01% |
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 | 105 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 105 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | BLUECROSS BLUESHIELD OF TEXAS | 93 | $680K |
| Dental | GUARDIAN | 105 | $198K |
| Vision | GUARDIAN | 105 | $198K |
| Life insurance | GUARDIAN | 105 | $198K |
| Short-term disability(2 contracts, 2 carriers) | GUARDIAN | 105 | $220K |
| Long-term disability | GUARDIAN | 105 | $198K |
| Other(5 contracts, 4 carriers) | GUARDIAN | 105 | $266K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 105 | — |
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.