| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HENRY NORRIS AGENCY3 | 520 S 1ST STREET LAMESA, TX 79331 | INTERMEDIARY INSURANCE SERVICES INC | $51K | $71K | $123K | 23.93% |
| INSURANCE MANAGEMENT SERVICES5 | 731 N TAYLOR AMARILLO, TX 79107 | INTERMEDIARY INSURANCE SERVICES INC | $26K | — | $26K | 5.00% |
| HENRY NORRIS AGENCY3 | PO BOX 1128 LAMESA, TX 79331 | AMERICAN UNITED LIFE INSURANCE COMPANY | $8K | — | $8K | 10.13% |
| INSURANCE MANAGEMENT SERVICES5 | 731 N TAYLOR AMARILLO, TX 79105 | AMERICAN UNITED LIFE INSURANCE COMPANY | $8K | — | $8K | 10.13% |
| INSURANCE MANAGEMENT SERVICES5 | 731 N TAYLOR AMARILLO, TX 79107 | HCC LIFE INSURANCE COMPANY | $3K | — | $3K | 10.00% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| INSURANCE MANAGEMENT SERVICES EIN 75-2355889 THIRD PARTY ADMINISTRATOR | Claims processing; Plan Administrator Service code 12 | 731 N TAYLOR AMARILLO, TX 79105 | $85K |
| CIGNA EIN 59-1031071 PPO NETWORK | Other services Service code 49 | 900 COTTAGE GROVE ROAD HARTFORD, CT 06152 | $35K |
| HENRY NORRIS AGENCY EIN 75-1428963 INSURANCE AGENT | Insurance agents and brokers Service code 22 | P.O. BOX 1128 LAMESA, TX 79331 | $14K |
| AMERICAN HEALTH HOLDINGS EIN 31-1368946 OTHER SERVICES | Other services Service code 49 | 7400 W CAMPUS RD F-510 NEW ALBANY, OH 43054 | $13K |
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 | 239 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 239 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | INTERMEDIARY INSURANCE SERVICES INC | 239 | $512K |
| Short-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 239 | $77K |
| Long-term disability | AMERICAN UNITED LIFE INSURANCE COMPANY | 239 | $77K |
| Prescription drug | INTERMEDIARY INSURANCE SERVICES INC | 239 | $512K |
| Other | HCC LIFE INSURANCE COMPANY | 239 | $31K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 239 | — |
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.