| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| WORTHAM SAN ANTONIO INC3 | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNITEDHEATHCARE INSURANCE COMPANY | — | $64K | $64K | 2.79% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC - WORTHAM SAN ANTONIO | 131 INTERPARK BLVD SAN ANTONIO, TX 78216 | UNITEDHEATHCARE INSURANCE COMPANY | $10K | $37K | $46K | 2.04% |
| CHARLES D SNOWDEN3 | 10101 REUNION PLACE SUITE 300 SAN ANTONIO, TN 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $7K | — | $7K | 4.01% |
| CHARLES D SNOWDEN3 | 10101 REUNION PLACE SUITE 300 SAN ANTONIO, TN 78216 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $1K | — | $1K | 4.90% |
| PROFESSIONAL ENROLLMENT CONCEPTS3 | 6200 SAVOY STE 345 HOUSTON, TX 77036 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $573 | $7 | $580 | 2.60% |
| CHARLES D. BLOCK3 Filed as: CHARLES D BLOCK | 648 VILLAGE PARK DR UNIT 208 WILMINGTON, NC 28405 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $400 | $34 | $434 | 1.95% |
| JAMES H. VAN EPPS3 Filed as: JAMES H VAN EPPS | 10930 CRABAPPLE RD, STE 206 ROSWELL, GA 30075 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $400 | $26 | $426 | 1.91% |
| DARELL LAWAYNE EIDSON3 | 246 IVERNESS CTR DR BIRMINGHAM, AL 35242 | UNUM LIFE INSURANCE COMPANY OF AMERICA | $102 | — | $102 | 0.46% |
| CHARLES D SNOWDEN3 | 10101 REUNION PLACE SUITE 300 SAN ANTONIO, TN 78216 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $1K | — | $1K | 10.78% |
| CHARLES D. BLOCK3 Filed as: CHARLES D BLOCK | 648 VILLAGE PARK DR UNIT 208 WILMINGTON, NC 28405 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $588 | $47 | $635 | 5.06% |
| JAMES H. VAN EPPS3 Filed as: JAMES H VAN EPPS | 10930 CRABAPPLE RD, STE 206 ROSWELL, GA 30075 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $588 | $35 | $623 | 4.96% |
| DARELL LAWAYNE EIDSON3 | 246 IVERNESS CTR DR BIRMINGHAM, AL 35242 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $211 | — | $211 | 1.68% |
| PROFESSIONAL ENROLLMENT CONCEPTS3 | 6200 SAVOY STE 345 HOUSTON, TX 77036 | PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY | $101 | $1 | $102 | 0.81% |
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 | 408 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 6 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 414 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | UNITEDHEATHCARE INSURANCE COMPANY | 590 | $2.3M |
| Dental | UNITEDHEATHCARE INSURANCE COMPANY | 590 | $2.3M |
| Vision | UNITEDHEATHCARE INSURANCE COMPANY | 590 | $2.3M |
| Life insurance | UNUM LIFE INSURANCE COMPANY OF AMERICA | 447 | $165K |
| Short-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 447 | $165K |
| Long-term disability | UNUM LIFE INSURANCE COMPANY OF AMERICA | 447 | $165K |
| Other(3 contracts, 2 carriers) | UNUM LIFE INSURANCE COMPANY OF AMERICA | 447 | $200K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 590 | — |
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."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.