| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 2400 NORTH GLENVILLE DRIVE RICHARDSON, TX 75082 | BLUECROSS BLUESHIELD OF TEXAS | $40K | $3K | $44K | 7.21% |
| MPART BENEFITS INC3 Filed as: MPART BENEFITS, INC. | 100 ALBRIGHT LANE PROSPER, TX 75078 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $2K | $7K | 5.84% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 2400 NORTH GLENVILLE DRIVE RICHARDSON, TX 75082 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $5K | $46 | $5K | 3.91% |
| VIRGINIA LEDER-CLARK3 | 4513 BRINDLE WAY FLOWER MOUND, TX 75028 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $384 | $2K | 1.72% |
| MJ INSURANCE3 Filed as: ANNALEE AHRENS AND VARIOUS AGENTS | 4911 HOLLY TREE DRIVE DALLAS, TX 75287 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $2K | $209 | $2K | 1.52% |
| CRAIG LEE KREUTZER3 | 1112 WILSON DRIVE LANTANA, TX 76226 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $834 | $21 | $855 | 0.73% |
| CALVIN DEAN INGLE3 | 1840 LARIAT TRAIL CELINA, TX 75009 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $708 | $84 | $792 | 0.68% |
| CLARICE R MIMS3 Filed as: CLARICE R. MIMS | 172-90 HIGHLAND AVENUE JAMAICA ESTATES, NY 11432 | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | $573 | $83 | $656 | 0.56% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 2400 NORTH GLENVILLE DRIVE SUITE B125 RICHARDSON, TX 75082 | DEARBORN LIFE INSURANCE COMPANY | $6K | $0 | $6K | 12.83% |
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 | 119 | 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) | 119 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 120 | $605K |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 120 | $605K |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 119 | $49K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 119 | $49K |
| Short-term disability | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 91 | $116K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 119 | $49K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 120 | $605K |
| Other(2 contracts, 2 carriers) | COLONIAL LIFE AND ACCIDENT INSURANCE COMPANY | 119 | $166K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 120 | — |
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.