| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: BRADY CHAPMAN HOLLAND & ASSOCS INC | — | BLUECROSS BLUESHIELD OF TEXAS | $94K | $2K | $96K | 10.55% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: BRADY CHAPMAN HOLLAND & ASSOCIATES | INC 10055 W GULF BANK RD HOUSTON, TX 770403119 | METROPOLITAN LIFE INSURANCE COMPANY | $15K | — | $15K | 9.86% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: BRADY, CHAPMAN, HOLLAND & | ASSOCIATES 10055 W GULF BANK RD HOUSTON, TX 770403119 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $21K | — | $21K | 14.83% |
| GALLAGHER BENEFIT SERVICES, INC.3 Filed as: BRADY CHAPMAN HOLLAND & ASSOCIATES | INC 10055 W GULF BANK RD HOUSTON, TX 770403119 | SAFEGUARD HEALTH PLANS, INC., A TEXAS CORPORATION | $1K | — | $1K | 9.89% |
| PATRICIA A. BOLLI3 Filed as: PATRICIA A BOLLI | P.O.BOX 603 BURWELL, NE 68823 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $1K | — | $1K | 16.98% |
| W. WILLIAM WORNARDT III3 Filed as: W WILLIAM WORNARDT III | 7707 TIBURON TRL SUGAR LAND, TX 77479 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $744 | — | $744 | 10.49% |
| RICHARD NEWMAN II3 | 82268 AUSTIN ST FOLSOM, LA 70437 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $51 | — | $51 | 0.72% |
| DEANNE LYLES3 | 3522 CYPRESS LANDING CT ROSENBERG, TX 77471 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $28 | — | $28 | 0.39% |
| KIMBERLY A MONROY3 | 6830 KACAL RD BEASLEY, TX 77417 | PRE-PAID LEGAL SERVICES INC. DBA LEGALSHIELD | $24 | — | $24 | 0.34% |
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 | 328 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 29 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 360 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 308 | $911K |
| Dental(2 contracts, 2 carriers) | METROPOLITAN LIFE INSURANCE COMPANY | 587 | $165K |
| Vision | METROPOLITAN LIFE INSURANCE COMPANY | 587 | $153K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 301 | $143K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 301 | $143K |
| Long-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 301 | $143K |
| Other(2 contracts, 2 carriers) | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 301 | $150K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 587 | — |
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.