| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| UNKNOWN3 | UNKNOWN ODESSA, TX 79761 | FIRSTCARE HEALTH PLANS | $28K | $0 | $28K | 5.00% |
| MPART BENEFITS INC3 | 4621 GLEN HEATHER DRIVE FRISCO, TX 75034 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $4K | $10K | 8.91% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC | 2400 NORTH GLENVILLE DRIVE RICHARDSON, TX 75082 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $6K | $0 | $6K | 5.35% |
| CALVIN DEAN INGLE3 | 1840 LARIAT TRAIL CELINA, TX 75009 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $507 | $4K | 3.35% |
| VIRGINIA LEDER-CLARK3 | 4513 BRINDLE WAY FLOWER MOUND, TX 75028 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $3K | $693 | $3K | 2.99% |
| CRAIG LEE KREUTZER3 | 1112 WILSON DRIVE LANTANA, TX 76226 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $1K | $115 | $1K | 1.19% |
| SULEIKA BLOOM3 Filed as: SULEIKA BLOOM AND MISC. AGENTS | 152 LAKERIDGE DRIVE DALLAS, TX 75218 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $799 | $47 | $846 | 0.74% |
| WENDY E GUAJARDO-RANGEL3 Filed as: WENDY E. GUAJARDO-RANGEL | 3083 HERSCHEL AVENUE, UNIT 204 DALLAS, TX 75219 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $264 | $12 | $276 | 0.24% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES INC | 9600 GREAT HILLS TRAIL, SUITE 225W AUSTIN, TX 78759 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | $0 | $10K | 12.46% |
| UNKNOWN3 | UNKNOWN ODESSA, TX 79761 | SCOTT & WHITE HEALTH PLAN | $1K | $0 | $1K | 4.14% |
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 | 160 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 160 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | FIRSTCARE HEALTH PLANS | 114 | $581K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $77K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $77K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $77K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 111 | $115K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 160 | $77K |
| Prescription drug(2 contracts, 2 carriers) | FIRSTCARE HEALTH PLANS | 114 | $581K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 160 | $192K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 160 | — |
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."
The primary carrier changed from prior filing. The plan is already willing to move; opportunity to re-pitch on the next cycle.
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.