| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 | PRESCOTT PAILET BENEFITS 2500 CITY WEST BLVD SUITE 2400 HOUSTON, TX 77042 | BLUECROSS BLUESHIELD OF TEXAS | $46K | — | $46K | 5.92% |
| OSGSWT LLC3 | 1001 MAIN ST LUBBOCK, TX 79401 | BLUECROSS BLUESHIELD OF TEXAS | $4K | — | $4K | 0.55% |
| MARSH & MCLENNAN AGENCY LLC3 | PRESCOTT PAILET BENEFITS 2500 CITY WEST BLVD SUITE 2400 HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $7K | $2K | $10K | 12.33% |
| OSGSWT LLC3 | 1001 MAIN ST LUBBOCK, TX 79401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $625 | — | $625 | 0.81% |
| MARSH & MCLENNAN AGENCY LLC3 | PRESCOTT PAILET BENEFITS 2500 CITY WEST BLVD SUITE 2400 HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | — | $5K | 18.29% |
| JENNINGS INSURANCE SERVICES3 | 10524 MOSS PARK RD #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $3K | $3K | 10.00% |
| OSGSWT LLC3 | 1001 MAIN ST LUBBOCK, TX 79401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $447 | — | $447 | 1.71% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH & MCLENNAN AGENCY, LLC | 8144 WALNUT HILL LANE FL 15 DALLAS, TX 75231 | VISION SERVICE PLAN | $534 | — | $534 | 2.75% |
| EMPLOYEE NAVIGATOR, LLC3 | 7979 OLD GEORGETOWN RD STE 300 BETHESDA, MD 20814 | VISION SERVICE PLAN | $120 | — | $120 | 0.62% |
| MARSH & MCLENNAN AGENCY LLC3 | PRESCOTT PAILET BENEFITS 2500 CITY WEST BLVD SUITE 2400 HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 18.38% |
| JENNINGS INSURANCE SERVICES3 | 10524 MOSS PARK RD #206-306 ORLANDO, FL 32832 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 10.00% |
| OSGSWT LLC3 | 1001 MAIN ST LUBBOCK, TX 79401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $279 | — | $279 | 1.62% |
| MARSH & MCLENNAN AGENCY LLC3 | PRESCOTT PAILET BENEFITS 2500 CITY WEST BLVD SUITE 2400 HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $3K | — | $3K | 18.31% |
| OSGSWT LLC3 | 1001 MAIN ST LUBBOCK, TX 79401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $277 | — | $277 | 1.68% |
| MARSH & MCLENNAN AGENCY LLC3 | 2500 CITY WEST BLVE SUITE 2400 PRESCOTT PAILET BENEFITS HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | $701 | $2K | 19.93% |
| OSGSWT LLC3 | 1001 MAIN ST LUBBOCK, TX 79401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $141 | — | $141 | 1.24% |
| MARSH & MCLENNAN AGENCY LLC3 | PRESCOTT PAILET BENEFITS 2500 CITY WEST BLVD SUITE 2400 HOUSTON, TX 77042 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 18.35% |
| OSGSWT LLC3 | 1001 MAIN ST LUBBOCK, TX 79401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $157 | — | $157 | 1.65% |
| JENNINGS INSURANCE SERVICES3 Filed as: JENNINGS INSURANCE SERVICES INC. | 10524 MOSS PARK ROAD #204-306 ORLANDO, FL 32832 | BANKERS FIDELITY LIFE INSURANCE COMPANY | $380 | — | $380 | 4.99% |
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 | 203 | 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) | 203 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 217 | $771K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 105 | $77K |
| Vision | VISION SERVICE PLAN | 106 | $19K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 203 | $37K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 27 | $17K |
| Stop-loss / reinsurancereinsurance | BLUECROSS BLUESHIELD OF TEXAS | 217 | $771K |
| Other(5 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 203 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 217 | — |
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.