| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 NORTH CENTRAL EXPRESSWAY SUITE 550 PLANO, TX 75074 | BLUECROSS BLUESHIELD OF TEXAS | $41K | — | $41K | 2.53% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: HUB INTERNATIONAL TEXAS, INC. | 10000 NORTH CENTRAL EXPRESSWAY SUITE 1200 DALLAS, TX 75231 | BLUECROSS BLUESHIELD OF TEXAS | $22K | $6K | $28K | 1.69% |
| CENTERSTONE INSURANCE AND FINANCIAL3 Filed as: CENTERSTONE INS & FINANCIAL SVCS | 4851 LBJ FREEWAY SUITE 900 DALLAS, TX 75244 | BLUECROSS BLUESHIELD OF TEXAS | $0 | $177 | $177 | 0.01% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 N CENTRAL EXPY SUITE 550 PLANO, TX 75074 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $12K | $0 | $12K | 7.36% |
| HUB INTERNATIONAL MIDWEST LIMITED3 Filed as: IPS ADVISORS, A DIV OF HUB INT'L | 10000 N CENTRAL EXPY SUITE 1200 DALLAS, TX 75231 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $4K | $0 | $4K | 2.12% |
| IPS ADVISORS3 Filed as: IPS ADVISORS INC. | 10000 N CENTRAL EXPY SUITE 1200 DALLAS, TX 75231 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $3K | — | $3K | 1.99% |
| ASSUREDPARTNERS3 Filed as: ASSUREDPARTNERS OF TEXAS, LLC | 500 N CENTRAL EXPRESSWAY SUITE 550 PLANO, TX 75074 | RELIANCE STANDARD LIFE INSURANCE COMPANY | $171 | $0 | $171 | 0.10% |
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 | 190 | 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) | 190 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 213 | $1.6M |
| Dental | RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $169K |
| Vision | RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $169K |
| Life insurance | RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $169K |
| Long-term disability | RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $169K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 213 | $1.6M |
| Other | RELIANCE STANDARD LIFE INSURANCE COMPANY | 190 | $169K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 213 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.