| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & NOYES, LLC | UNKNOWN HOUSTON, TX 77042 | BLUECROSS BLUE SHIELD OF TEXAS | $54K | $13K | $67K | 2.34% |
| BROWN AND BROWN OF FLORIDA, INC.3 Filed as: BROWN & NOYES, LLC | 3151 BRIARPARK DRIVE, SUITE 1220 HOUSTON, TX 77042 | DEARBORN LIFE INSURANCE COMPANY | $26K | $0 | $26K | 14.02% |
| MICHEAL W HART3 Filed as: MICHEAL W. HART | 44 WINDSWEPT DRIVE PORT LAVACA, TX 77979 | AFLAC | $3K | $103 | $3K | 6.73% |
| PARAGON BENEFIT SOLUTIONS LLC3 | 2478 CHEW ROAD SEALY, TX 77474 | AFLAC | $913 | $0 | $913 | 2.29% |
| MJ INSURANCE3 Filed as: MELVIN J. ROBERSON & VARIOUS AGENTS | 4014 COLORADO STREET TEXARKANA, TX 75503 | AFLAC | $459 | $0 | $459 | 1.15% |
| ROBERT PILKENTON3 Filed as: ROBERT L. PILKENTON | 6643 FM 2187 ROAD SEALY, TX 77474 | AFLAC | $337 | $26 | $363 | 0.91% |
| HARTBOYZ INC3 | 2126 NORTH SAN ANTONIO STREET PEARLAND, TX 77581 | AFLAC | $293 | $0 | $293 | 0.74% |
| RAYMON P KEECH III3 Filed as: RAYMON P. KEECH III | 8207 CAMPAIGN CIRCLE RICHMOND, TX 77406 | AFLAC | $134 | $0 | $134 | 0.34% |
| ROBERT SALAS3 | 1747 PARKVIEW LANE MISSOURI CITY, TX 77459 | AFLAC | $129 | $0 | $129 | 0.32% |
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 | 250 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 253 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUE SHIELD OF TEXAS | 454 | $2.8M |
| Dental | BLUECROSS BLUE SHIELD OF TEXAS | 454 | $2.8M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 260 | $185K |
| Life insurance | DEARBORN LIFE INSURANCE COMPANY | 260 | $185K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 260 | $185K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 260 | $185K |
| Prescription drug | BLUECROSS BLUE SHIELD OF TEXAS | 454 | $2.8M |
| Other(2 contracts, 2 carriers) | DEARBORN LIFE INSURANCE COMPANY | 260 | $225K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 454 | — |
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.