| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UPSHAW INSURANCE AGENCY INC.3 Filed as: UPSHAW INSURANCE AGENCY INC | 801 S. FILLMORE STE 300 AMARILLO, TX 79101 | INTERNATIONAL SPECIALTY UNDERWRITERS INC | — | $69K | $69K | 11.67% |
| UPSHAW INSURANCE AGENCY INC.3 Filed as: UPSHAW INSURANCE AGENCY | 801 S. FILLMORE SUITE 300 AMARILLO, TX 79101 | COMPANION LIFE INSURANCE COMPANY | $18K | — | $18K | 8.25% |
| UPSHAW INSURANCE AGENCY INC.3 Filed as: UPSHAW INSURANCE AGENCY | 801 S. FILLMORE SUITE 300 AMARILLO, TX 79101 | COMPANION LIFE INSURANCE COMPANY | $13K | — | $13K | 8.25% |
| UPSHAW INSURANCE AGENCY INC.3 Filed as: UPSHAW INSURANCE AGENCY | 801 S. FILLMORE SUITE 300 AMARILLO, TX 79101 | COMPANION LIFE INSURANCE COMPANY | $8K | — | $8K | 8.25% |
| UPSHAW INSURANCE AGENCY INC.3 Filed as: UPSHAW INSURANCE AGENCY INC | P.O. BOX 1299 AMARILLO, TX 79105 | AMERITAS LIFE INSURANCE CORP. | $7K | $642 | $8K | 10.87% |
| UPSHAW INSURANCE AGENCY INC.3 Filed as: UPSHAW INSURANCE AGENCY | 801 S. FILLMORE SUITE 300 AMARILLO, TX 79101 | COMPANION LIFE INSURANCE COMPANY | $2K | — | $2K | 8.25% |
| UPSHAW INSURANCE AGENCY INC.3 Filed as: UPSHAW INSURANCE AGENCY | 801 S. FILLMORE SUITE 300 AMARILLO, TX 79101 | COMPANION LIFE INSURANCE COMPANY | $870 | — | $870 | 8.25% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INSURANCE MANAGEMENT SERVICES EIN 75-2355889 THIRD PARTY ADMINISTRATOR | Plan Administrator; Claims processing Service code 12 | 731 N. TAYLOR ST. AMARILLO, TX 79107 | $118K |
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 | 352 | 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) | 352 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INTERNATIONAL SPECIALTY UNDERWRITERS INC | 352 | $591K |
| Dental | COMPANION LIFE INSURANCE COMPANY | 329 | $221K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 679 | $73K |
| Life insurance(2 contracts) | COMPANION LIFE INSURANCE COMPANY | 409 | $180K |
| Short-term disability | COMPANION LIFE INSURANCE COMPANY | 373 | $102K |
| Long-term disability | COMPANION LIFE INSURANCE COMPANY | 18 | $11K |
| Prescription drug | INTERNATIONAL SPECIALTY UNDERWRITERS INC | 352 | $591K |
| Other(4 contracts, 3 carriers) | COMPANION LIFE INSURANCE COMPANY | 679 | $303K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 679 | — |
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."
Total premium grew more than 20% over prior year. Renewal pain — prime candidate for re-shopping the carriers.
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.