| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC. | 2400 NORTH GLENVILLE DRIVE SUITE B125 RICHARDSON, TX 75082 | BLUE CROSS BLUE SHIELD OF TEXAS | $32K | $0 | $32K | 5.24% |
| MPART BENEFITS INC3 Filed as: MPART BENEFITS INC. | 4621 GLEN HEATHER DRIVE FRISCO, TX 75034 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7K | $5K | $12K | 11.97% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC. | 2400 NORTH GLENVILLE DRIVE RICHARDSON, TX 75082 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $7K | $502 | $8K | 7.62% |
| VIRGINIA LEDER-CLARK3 | 4513 BRINDLE WAY FLOWER MOUND, TX 75028 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $1K | $6K | 5.77% |
| WENDY E GUAJARDO-RANGEL3 Filed as: WENDY E. GUAJARDO-RANGEL | 3083 HERSCHEL AVENUE, APT. 204 DALLAS, TX 75219 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $0 | $2K | 1.86% |
| CRAIG LEE KREUTZER3 | 1112 WILSON DRIVE LANTANA, TX 76226 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $935 | $221 | $1K | 1.16% |
| AHRENS BENEFITS COMMUNICATIONS INC3 Filed as: AHRENS BEN. COMM. AND OTHER AGENTS | 4911 HOLLY TREE DRIVE DALLAS, TX 75287 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $846 | $67 | $913 | 0.91% |
| CALVIN DEAN INGLE3 | 1840 LARIAT TRAIL CELINA, TX 75009 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $467 | $69 | $536 | 0.54% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC. | 9600 GREAT HILL TRAIL AUSTIN, TX 78759 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $5K | $0 | $5K | 15.05% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC. | 2400 NORTH GLENVILLE DRIVE SUITE B125 RICHARDSON, TX 75082 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $1K | $0 | $1K | 15.00% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC. | 9600 GREAT HILL TRAIL AUSTIN, TX 78759 | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | $456 | $0 | $456 | 15.03% |
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 | 109 | 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) | 110 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUE CROSS BLUE SHIELD OF TEXAS | 109 | $607K |
| Dental | BLUE CROSS BLUE SHIELD OF TEXAS | 109 | $607K |
| Vision | BLUE CROSS BLUE SHIELD OF TEXAS | 109 | $607K |
| Life insurance(3 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 170 | $44K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 105 | $100K |
| Long-term disability(3 contracts, 2 carriers) | LIBERTY LIFE ASSURANCE COMPANY OF BOSTON | 170 | $44K |
| Other(4 contracts, 3 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 170 | $145K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 170 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.