| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| TOMMY MORRIS AGENCY, LLC3 Filed as: TOMMY MORRIS AGENCY LLC | P.O. BOX 365 ABILENE, TX 79604 | BLUE CROSS BLUE SHIELD OF TEXAS | $36K | $2K | $38K | 3.18% |
| TOMMY MORRIS AGENCY, LLC3 | P.O. BOX 365 ABILENE, TX 79604 | AMERITAS LIFE INSURANCE CORP. | $3K | $2K | $5K | 4.55% |
| DON T. MORRIS3 | P.O. BOX 365 ABILENE, TX 79604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $12K | — | $12K | 15.00% |
| DON T. MORRIS3 | P.O. BOX 365 ABILENE, TX 79604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $10K | — | $10K | 15.00% |
| TOMMY MORRIS AGENCY, LLC3 | P.O. BOX 365 ABILENE, TX 79604 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 9.19% |
| DON T. MORRIS3 | P.O. BOX 365 ABILENE, TX 79604 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $678 | — | $678 | 2.56% |
| DON T. MORRIS3 | P.O. BOX 365 ABILENE, TX 79604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $292 | — | $292 | 10.00% |
| DON T. MORRIS3 | P. O. BOX 365 ABILENE, TX 79604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $133 | — | $133 | 9.97% |
| DON T. MORRIS3 | P.O. BOX 365 ABILENE, TX 79604 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $122 | — | $122 | 10.00% |
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 | 189 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 189 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 308 | $1.2M |
| Dental | AMERITAS LIFE INSURANCE CORP. | 354 | $105K |
| Vision | AMERITAS LIFE INSURANCE CORP. | 354 | $105K |
| Life insurance(4 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 189 | $71K |
| Short-term disability(2 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 119 | $106K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 106 | $79K |
| Prescription drug | BLUE CROSS BLUE SHIELD OF TEXAS | 308 | $1.2M |
| Stop-loss / reinsurancereinsurance | BLUE CROSS BLUE SHIELD OF TEXAS | 308 | $1.2M |
| Other(4 contracts) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 189 | $71K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 354 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.