| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| STEALTH PARTNER GROUP LLC3 Filed as: STEALTH PARTNER GROUP, LLC | 18700 N. HAYDEN DR., STE 405 SCOTTSDALE, AZ 85255 | HCC LIFE INSURANCE COMPANY | $34K | $0 | $34K | 2.98% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | METROPOLITAN LIFE INSURANCE CO. | $33K | $5K | $39K | 7.76% |
| HOTCHKISS INSURANCE AGENCY LLC3 | 4120 INTERNATIONAL PKWY., STE 2000 CARROLLTON, TX 75007 | METROPOLITAN LIFE INSURANCE CO. | $18K | $0 | $18K | 3.66% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY, INC. | PO BOX 908 FT. WORTH, TX 76101 | METROPOLITAN LIFE INSURANCE CO. | $0 | $467 | $467 | 0.09% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY., STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE CO. | $41K | $0 | $41K | 11.40% |
| DURANT CLASSIC INSURANCE SERVICES3 | 1101 SH 114 W. GRAPEVINE, TX 76051 | UNITED OF OMAHA LIFE INSURANCE CO. | $31K | $0 | $31K | 8.60% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM & ASSOCIATES-FT. WORTH | 500 WEST 13TH STREET FT. WORTH, TX 76102 | FIDELITY SECURITY LIFE INSURANCE CO. | $6K | $0 | $6K | 5.45% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY., STE 2000 CARROLLTON, TX 75007 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $0 | $7K | 8.73% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 12750 MERIT DR., STE 1000 DALLAS, TX 75251 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $0 | $5K | 6.27% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 736 S. STONE AVE. LA GRANGE, IL 60525 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $1K | $1K | 1.81% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 95287 CHICAGO, IL 60694 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $554 | $0 | $554 | 6.20% |
| HOTCHKISS INSURANCE AGENCY LLC3 Filed as: HOTCHKISS INSURANCE AGENCY, LLC | 4120 INTERNATIONAL PKWY., STE 2000 CARROLLTON, TX 75007 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $360 | $0 | $360 | 4.03% |
| GALLAGHER BENEFIT SERVICES, INC.3 | PO BOX 3009 ARLINGTON HEIGHTS, IL 60006 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $0 | $99 | $99 | 1.11% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY, INC. | PO BOX 908 FT. WORTH, TX 76101 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $0 | $11 | $11 | 0.12% |
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 | 1,470 | 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) | 1,470 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE CO. | 1,583 | $507K |
| Vision | FIDELITY SECURITY LIFE INSURANCE CO. | 1,592 | $118K |
| Life insurance(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE CO. | 1,596 | $442K |
| Other(3 contracts, 3 carriers) | HCC LIFE INSURANCE COMPANY | 1,596 | $1.6M |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,596 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.