| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHELLE FUQUA BRYSON3 Filed as: MICHELLE F BRYSON | 410 S TAYLOR STE 1102 AMARILLO, TX 79101 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $3K | — | $3K | 4.58% |
| MICHELLE FUQUA BRYSON3 | 410 S TAYLOR STE 1102 AMARILLO, TX 79101 | SELECT BENEFITS GROUP INC., DBA DENTAL SELECT | $9K | — | $9K | 13.56% |
| INSURANCE MANAGEMENT SERVICES5 | 731 N TAYLOR AMARILLO, TX 79107 | STANDARD SECURITY LIFE INSURANCE | $2K | — | $2K | 5.48% |
| MICHELLE FUQUA BRYSON3 Filed as: MICHELLE FUQUA-BRYSON | 410 S TAYLOR PLAZA ONE STE 1100 AMARILLO, TX 79101 | STANDARD SECURITY LIFE INSURANCE | $2K | — | $2K | 5.48% |
| MICHELLE FUQUA BRYSON3 | 410 S TAYLOR STE 1102 AMARILLO, TX 79101 | ACE AMERICAN INSURANCE COMPANY | $3K | — | $3K | 11.01% |
| MICHELLE FUQUA BRYSON3 | 410 S TAYLOR STE 1102 AMARILLO, TX 79101 | ACE AMERICAN INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| MICHELLE FUQUA BRYSON3 Filed as: MICHELLE FUQUA-BRYSON | 410 S TAYLOR STE 1102 AMARILLO, TX 79101 | HCC LIFE INSURANCE COMPANY | $1K | — | $1K | 10.00% |
| MICHELLE FUQUA BRYSON3 | 410 S TAYLOR ST 1102 AMARILLO, TX 79101 | ACE AMERICAN INSURANCE COMPANY | $609 | — | $609 | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INSURANCE MANAGEMENT SERVICES EIN 75-2355889 THIRD PARTY ADMINISTRATOR | Plan Administrator; Claims processing Service code 12 | 731 N. TAYLOR AMARILLO, TX 79107 | $104K |
| FUQUA-BRYSON BENEFITS GROUP EIN 75-2406160 INSURANCE AGENT | Insurance agents and brokers Service code 22 | 410 S TAYLOR STE 1100 AMARILLO, TX 79101 | $38K |
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 | 289 | 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) | 289 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | INTERMEDIARY INSURANCE SERVICES INC | 739 | $725K |
| Dental(2 contracts, 2 carriers) | SELECT BENEFITS GROUP INC., DBA DENTAL SELECT | 230 | $90K |
| Vision(2 contracts) | ACE AMERICAN INSURANCE COMPANY | 209 | $36K |
| Life insurance(2 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 303 | $72K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 303 | $17K |
| Prescription drug(2 contracts, 2 carriers) | INTERMEDIARY INSURANCE SERVICES INC | 739 | $725K |
| Other(4 contracts, 3 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 313 | $125K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 739 | — |
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."
Primary broker changed. Recently changed advisors; vulnerable to a second-look pitch or hostile takeover.