| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GALLAGHER BENEFIT SERVICES, INC.3 | 12750 MERIT DRIVE, SUITE 1000 DALLAS, TX 75251 | BLUECROSS BLUESHIELD OF TEXAS | $73K | $525 | $74K | 49.35% |
| GALLAGHER BENEFIT SERVICES, INC. | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | RENAISSANCE LIFE AND HEALTH INSURANCE COMPANY OF AMERICA | $10K | $0 | $10K | 8.51% |
| GALLAGHER BENEFIT SERVICES, INC.3 | 2850 GOLF ROAD ROLLING MEADOWS, IL 60008 | DEARBORN NATIONAL LIFE INSURANCE COMPANY | $9K | $4K | $13K | 21.53% |
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 | 143 | 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) | 143 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 337 | $150K |
| Dental | RENAISSANCE LIFE AND HEALTH INSURANCE COMPANY OF AMERICA | 329 | $113K |
| Vision | RENAISSANCE LIFE AND HEALTH INSURANCE COMPANY OF AMERICA | 329 | $113K |
| Life insurance | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 135 | $59K |
| Short-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 135 | $59K |
| Long-term disability | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 135 | $59K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 337 | $150K |
| Other | DEARBORN NATIONAL LIFE INSURANCE COMPANY | 135 | $59K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 337 | — |
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.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.