| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ACRISURE LLC3 Filed as: ACRISURE TX RISK ADV & INS | SERV-C TX 5057 KELLER SPRINGS RD, STE 200 ADDISON, TX 75001 | UNITEDHEALTHCARE INSURANCE COMPANY | $3K | — | $3K | 5.21% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | UNITEDHEALTHCARE INSURANCE COMPANY | $1K | — | $1K | 2.45% |
| GCG FINANCIAL LLC3 Filed as: SYLVIA LARA | 2735 WESTERN HILLS DR LANCASTER, TX 75146 | AFLAC | $3K | $351 | $3K | 7.39% |
| ACRISURE LLC3 | 32335 US HIGHWAY 281 N STE 1201 BULVERDE, TX 78163 | AFLAC | $2K | — | $2K | 4.64% |
| PATRICIA R ALDAPE3 | PO BOX 181515 ARLINGTON, TX 76096 | AFLAC | $1K | $70 | $1K | 3.30% |
| LINDA A LECIEJEWSKI3 Filed as: LINDA A LEDIEJEWSKI | 1296 SEYMOUR DR FRISCO, TX 75033 | AFLAC | $680 | $70 | $750 | 1.90% |
| ACRISURE LLC3 | 582 E 36TH AVE STE 1201 BULVERDE, TX 78163 | AFLAC | $411 | — | $411 | 1.04% |
| ACRISURE LLC3 Filed as: ACRISURE TEXAS RISK ADVISORS & INS | 582 E 36TH AVE STE 1201 BULVERDE, TX 78163 | AFLAC | $129 | — | $129 | 0.33% |
| BRIDGET N ALDAPE3 | 5540 CREEKRIDGE DR ARLINGTON, TX 76018 | AFLAC | $124 | — | $124 | 0.31% |
| KATHY LYNDE LEBLANC3 | 6708 FOREST PARK DR ARLINGTON, TX 76001 | AFLAC | $114 | — | $114 | 0.29% |
| DELPHINE B HUDDELSTON3 | 2716 RIVER FOREST CT BEDFORD, TX 76021 | AFLAC | $72 | — | $72 | 0.18% |
| YOLANDA CASILLAS3 | 6120 COUNTY ROAD 551 BROWNWOOD, TX 76801 | AFLAC | $70 | — | $70 | 0.18% |
| FRANCISCO J LARA3 | 2735 WESTERN HILLS DR LANCASTER, TX 75146 | AFLAC | $60 | — | $60 | 0.15% |
| JOSHUA J CONTRERAS3 | 2320 MCCUE RD APT 21 HOUSTON, TX 77056 | AFLAC | $42 | — | $42 | 0.11% |
| NANCY E ODOM3 | 5921 STONE MEADOW DR PLANO, TX 75093 | AFLAC | $35 | — | $35 | 0.09% |
| BRENDA A HUERTA3 | 3513 ASH LN MCKINNEY, TX 75070 | AFLAC | $33 | — | $33 | 0.08% |
| ZACHARY EUGENE VICKERS3 Filed as: ZACHARY K JOHNSON | 4447 N CENTRAL EXPY STE 100 PMB 200 DALLAS, TX 75205 | AFLAC | $33 | — | $33 | 0.08% |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES M DOWNES | 1109 RIDGEVIEW DR HEWITT, TX 76643 | AFLAC | $25 | — | $25 | 0.06% |
| CLARIBEL LUPE DELEON3 | 1109 RUMFIELD RD FORT WORTH, TX 76108 | AFLAC | $21 | — | $21 | 0.05% |
| BRENT LYNN SCHNEIDER3 | 4220 PIKE CT PLANO, TX 75093 | AFLAC | $16 | — | $16 | 0.04% |
| DAVID W SCOTT3 | 695 ROADRUNNER TRL RIESEL, TX 76682 | AFLAC | $13 | — | $13 | 0.03% |
| ANGELIQUE N LILES3 | 9101 HURON AVE LUBBOCK, TX 79424 | AFLAC | $12 | — | $12 | 0.03% |
| USI INSURANCE SERVICES LLC3 Filed as: USI SOUTHWEST INC | PO BOX 61187 VIRGINIA BEACH, VA 23466 | AFLAC | $12 | — | $12 | 0.03% |
| GAY M HUNDLEY3 | 8796 FOREST CREEK LN ANNA, TX 75057 | AFLAC | $11 | — | $11 | 0.03% |
| ROBERT PERRY EVANS JR3 | 14422 COUNTY ROAD X MCLEAN, TX 79057 | AFLAC | $10 | — | $10 | 0.03% |
| SHINISE W NICHOLS3 | 645 ARLINGTON PARK CT SEAGOVILLE, TX 75159 | AFLAC | $9 | — | $9 | 0.02% |
| MARY L WILLIAMS3 | 105 PRIVATE ROAD 3407 BRIDGEPORT, TX 76426 | AFLAC | $8 | — | $8 | 0.02% |
| SCOTT WEBB3 | 26729 N 91ST DR PEORIA, AZ 85383 | AFLAC | $4 | — | $4 | 0.01% |
| THE JAMES B OSWALD COMPANY3 Filed as: JAMES ROBERT BLAKEY | 221 CALUMET PL SAN ANTONIO, TX 78209 | AFLAC | $4 | — | $4 | 0.01% |
| LARRY W MARONEY3 | 1230 MOUNTAIN BREEZE CANYON LAKE, TX 78133 | AFLAC | $4 | — | $4 | 0.01% |
| GARY C KLEIN3 | 3211 SAN SEBASTIAN DR CARROLLTON, TX 75006 | AFLAC | $3 | — | $3 | 0.01% |
| JASON ROBERTS3 Filed as: JASON R ROBERTS | 2325 WHITMAN LN FLOWER MOUND, TX 75028 | AFLAC | $2 | — | $2 | 0.01% |
| JOHN M JOHNSON3 | 2150 W NORTHWEST HWY STE 114 GRAPEVINE, TX 76051 | AFLAC | $1 | — | $1 | 0.00% |
| HARVEY EDWARD MCCREARY JR3 | 717 BOSLEY DR FATE, TX 75087 | AFLAC | $1 | — | $1 | 0.00% |
| INSURANCE & BONDS AGENCY OF TEXAS Filed as: INSURANCE & BONDS AGENCY OF TX | 5057 KELLER SPRINGS ROAD SUITE 200 ADDISON, TX 75001 | GUARDIAN | $6K | — | $6K | 15.00% |
| ACRISURE LLC3 | PO BOX 1788 GRAND RAPIDS, MI 49501 | GUARDIAN | — | $1K | $1K | 2.65% |
| OPEN ACQ LLC3 Filed as: OPEN ONE ADVISORS LLC | — | GUARDIAN | $29 | — | $29 | 0.07% |
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 | 171 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 171 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEALTHCARE INSURANCE COMPANY | 218 | $55K |
| Life insurance | GUARDIAN | 107 | $39K |
| Other(2 contracts, 2 carriers) | AFLAC | 107 | $78K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 218 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.