| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ANBTX INSURANCE SERVICES, INC.3 | 12400 COIT RD SUITE 1100 DALLAS, TX 75251 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $49K | — | $49K | 9.24% |
| ANBTX INSURANCE SERVICES, INC.3 | 12400 COIT RD SUITE 1100 DALLAS, TX 75251 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $6K | — | $6K | 5.36% |
| SHERRY M ALLBRITTON3 | 3809 WINDING RD ARLINGTON, TX 76016 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $807 | $6K | 9.68% |
| JOE FOSTER3 | 17300 PRESTON RD DALLAS, TX 75252 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 1.95% |
| COLONIAL LIFE & ACCIDENT3 Filed as: COLONIAL OF NORTH TEXAS INSURANCE G | 4621 GLEN HEATHER DRIVE FRISCO, TX 75034 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $747 | $383 | $1K | 1.92% |
| JESSICA CHRISTINE LEARD3 | 351 NORTH POST OAK LANE #610 HOUSTON, TX 77024 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $345 | $52 | $397 | 0.67% |
| GLADY R ROWAN3 Filed as: GLADY R. ROWAN | 202 W LOUISIANA MCKINNEY, TX 75069 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $120 | — | $120 | 0.20% |
| MYLES MENDENHALL3 | 17300 PRESTON RD DALLAS, TX 75252 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | — | $83 | 0.14% |
| DAVID EVANS3 | 2711 YORK CT. SOUTHLAKE, TX 76092 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $49 | — | $49 | 0.08% |
| LEROY PHELPS3 | 7467 LYNNBROOK FALLS LANE HUMBLE, TX 77396 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $46 | $3 | $49 | 0.08% |
| PATRICIA A YEATS3 | PO BOX 500 COPPELL, TX 75019 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $37 | — | $37 | 0.06% |
| DUDLEY HERRERA3 | 10502 KINGSTON CREEK LN CYPRESS, TX 77433 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $14 | — | $14 | 0.02% |
| CAROL A BAKER3 | 2318 PROMONTORY POINT PLANO, TX 75075 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6 | — | $6 | 0.01% |
| DEBRA JEAN HUMPHREY3 | 1325 MARDI LANE HOUSTON, TX 77055 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5 | — | $5 | 0.01% |
| ANBTX INSURANCE SERVICES, INC.3 | 12400 COIT RD SUITE 1100 DALLAS, TX 75251 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $12K | — | $12K | 48.42% |
| ANBTX INSURANCE SERVICES, INC.3 | 12400 COIT RD SUITE 1100 DALLAS, TX 75251 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $2K | $892 | $3K | 20.44% |
| LILJENWALL-KANE DBA THE FIN PR3 | 4130 SPICEWOOD SPRINGS RD, STE 200 AUSTIN, TX 78759 | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $12 | — | $12 | 0.07% |
| ANBTX INSURANCE SERVICES, INC.3 | 12400 COIT RD SUITE 1100 DALLAS, TX 75251 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $2K | — | $2K | 15.00% |
| ANBTX INSURANCE SERVICES, INC.3 | 12400 COIT RD SUITE 1100 DALLAS, TX 75251 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $337 | — | $337 | 14.98% |
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 | 192 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 195 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 214 | $535K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 242 | $25K |
| Vision | GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 109 | $16K |
| Life insurance(2 contracts, 2 carriers) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 163 | $72K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 195 | $109K |
| Other | LIFE INSURANCE COMPANY OF NORTH AMERICA | 163 | $2K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 242 | — |
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.