| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY, INC. | 124 OLD TOWN BLVD N ARGYLE, TX 76226 | BLUE CROSS BLUE SHIELD OF TEXAS | $41K | $2K | $43K | 5.16% |
| WELLSPRING BENEFITS INC3 Filed as: WELLSPRING AGENCY, INC. | 124 OLD TOWN BLVD N ARGYLE, TX 76226 | PRINCIPAL LIFE INSURANCE COMPANY | $10K | $0 | $10K | 12.28% |
| WELLSPRING INSURANCE AGENCY INC3 | 124 OLD TOWN BLVD N STE 100 LANTANA, TX 76226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $5K | $161 | $5K | 15.52% |
| WELLSPRING INSURANCE AGENCY INC3 Filed as: WELLSPRING INSURANCE AGENCY, INC. | 124 OLD TOWN BLVD N ARGYLE, TN 76226 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | $0 | $1K | 10.00% |
| WELLSPRING INSURANCE AGENCY INC3 | 124 OLD TOWN BLVD N STE 100 LANTANA, TX 76226 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $425 | $23 | $448 | 10.54% |
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 | 110 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 111 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 201 | $831K |
| Dental | PRINCIPAL LIFE INSURANCE COMPANY | 255 | $82K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 208 | $11K |
| Life insurance(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $35K |
| Other(2 contracts) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 107 | $35K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 255 | — |
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.
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.