| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MICHAEL REDNOUR3 | 2100 ROSS AVENUE SUITE 1200 DALLAS, TX 75201 | ASSURITY LIFE INSURANCE COMPANY | $20K | — | $20K | 24.36% |
| GARY WOOD ASSOCIATES, INC.3 Filed as: GARY WARE AND ASSOCIATES | 3808 W SPRINGFIELD AVENUE SUITE D CHAMPAIGN, IL 61822 | ASSURITY LIFE INSURANCE COMPANY | $13K | — | $13K | 15.74% |
| BRADDEN PROBST3 | 2100 ROSS AVENUE SUITE 1200 DALLAS, TX 75201 | ASSURITY LIFE INSURANCE COMPANY | $8K | — | $8K | 9.02% |
| MICHAEL C WALKER3 Filed as: MICHAEL PETERS | 2100 ROSS AVENUE SUITE 1200 DALLAS, TX 75201 | ASSURITY LIFE INSURANCE COMPANY | $914 | — | $914 | 1.09% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS INC | 10100 KATY FWY STE 400 HOUSTON, TX 77043 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $2K | — | $2K | 9.64% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 2100 ROSS AVE SUITE 1200 DALLAS, TX 75201 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $1K | $341 | $1K | 6.98% |
| SELECT NETWORKS3 | 317 6TH AVENUE SUITE 1440 DES MOINES, IA 50309 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 8.00% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF SEIBELS AND WILLIAMS | 10375 RICHMOND AVE SUITE 1700 HOUSTON, TX 77042 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $1K | — | $1K | 6.34% |
| LOCKTON COMPANIES, LLC3 Filed as: LOCKTON COMPANIES LLC | 319 WEST OAK DENTON, TX 76201 | FIDELITY SECURITY LIFE INSURANCE COMPANY | $666 | — | $666 | 3.67% |
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 | 144 | 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) | 144 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 112 | $970K |
| Vision | FIDELITY SECURITY LIFE INSURANCE COMPANY | 133 | $18K |
| Life insurance(2 contracts, 2 carriers) | ASSURITY LIFE INSURANCE COMPANY | 234 | $105K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 144 | $21K |
| Prescription drug | WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA | 112 | $970K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 144 | $21K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 234 | — |
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.