| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| SHOOP INSURANCE AGENCY LLC3 | — | BLUECROSS BLUESHIELD OF TEXAS | $78K | — | $78K | 4.61% |
| STEPHANIE DENISE WARNER3 | 5956 ORCHID ROAD ORE CITY, TX 75683 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15K | $12K | $27K | 11.05% |
| SHOOP INSURANCE AGENCY LLC3 | 206 TENAHA STREET CENTER, TX 75935 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $19K | — | $19K | 7.61% |
| JESSICA QUINN3 | 231 BROOKSIDE DRIVE LONGVIEW, TX 75602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $5K | $12K | 4.73% |
| TIFFANY VAZQUEZ3 | 2126 GEORGE RICHEY ROAD LONGVIEW, TX 75604 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $8K | $406 | $8K | 3.30% |
| JESSICA QUINN3 Filed as: JESSICA GARCIA | 231 KAYLA LANE LONGVIEW, TX 75602 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $6K | $2K | $8K | 3.23% |
| PARSONS BENEFITS GROUP LLC3 | 5603 PALLADIO LANE LONGVIEW, TX 75605 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $2K | $7K | 2.80% |
| HUGHES FINANCIAL CONSULTANTS LLC3 | 1100 SOUTH WALL AVENUE TYLER, TX 75701 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $3K | $5K | 1.88% |
| RANDI PHILLIPS3 | 150 MA COUNTY ROAD 3242 JEFFERSON, TX 75657 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 1.00% |
| DEYSI LUCERO BENITEZ3 | 3701 HYNSON SPRINGS ROAD MARSHALL, TX 75670 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | — | $2K | 0.90% |
| EAST TEXAS BUSINESS SOLUTIONS LLC3 | 641 COUNTY ROAD 2311 MINEOLA, TX 75773 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $17 | $2K | 0.74% |
| PETER DEL INVESTMENTS INC3 | 247 GRAHAM FORNEY, TX 75126 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $1K | $466 | $2K | 0.74% |
| EDNEY ENTERPRISES LLC3 Filed as: EDNEY ENTRERPRISES LLC | 22873 COUNTY ROAD 3107 GLADEWATER, TX 75647 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $216 | $1K | $1K | 0.55% |
| 3B VENTURE GROUP INC3 Filed as: 3B VENTURE GROUP OF TEXAS INC | 832 MALLARD TRAIL MURPHY, TX 75094 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $171 | $173 | $344 | 0.14% |
| CONSTANZA BEATRIZ FORBES3 | 373 FM 1903 GREENVILLE, TX 75402 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $18 | — | $18 | 0.01% |
| SHOOP INSURANCE AGENCY LLC3 Filed as: SHOOP INSURANCE AGENCY | 206 TENAHA STREET CENTER, TX 75935 | DEARBORN LIFE INSURANCE COMPANY | $2K | — | $2K | 10.00% |
| EVERGREEN BENEFITS GROUP3 Filed as: EVERGREEN BENEFITS GROUP LLC | 5028 CHAMPIONS DRIVE LUFKIN, TX 75901 | DEARBORN LIFE INSURANCE COMPANY | — | $1K | $1K | 5.00% |
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 | 282 | 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) | 282 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 282 | $1.7M |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 282 | $1.7M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 205 | $22K |
| Life insurance | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 115 | $246K |
| Short-term disability | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 115 | $246K |
| Other | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 115 | $246K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 282 | — |
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.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.