| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA, INC. | — | BLUECROSS BLUE SHIELD OF TEXAS | $34K | $846 | $35K | 2.79% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 2929 ALLEN PKWY STE 2500 HOUSTON, TX 77019 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $17K | — | $17K | 15.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 2727 ALLEN PKWY STE 1580 HOUSTON, TX 77019 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 1.79% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 2929 ALLEN PKWY STE 2500 HOUSTON, TX 77019 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $10K | — | $10K | 10.00% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH USA INC | 2727 ALLEN PKWY STE 1580 HOUSTON, TX 77019 | UNITED OF OMAHA LIFE INSURANCE COMPANY | — | $2K | $2K | 1.56% |
| MARSH & MCLENNAN AGENCY LLC3 Filed as: MARSH WORTHAM | PO BOX 1388 HOUSTON, TX 77251 | GUARDIAN | $1K | $335 | $2K | 12.83% |
| WEALTH DESIGN GROUP, LLC3 | — | GUARDIAN | $6 | — | $6 | 0.05% |
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 | 108 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 109 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUE SHIELD OF TEXAS | 186 | $1.3M |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 103 | $100K |
| Vision | GUARDIAN | 101 | $12K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 108 | $111K |
| Short-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 108 | $111K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 108 | $111K |
| Other | UNITED OF OMAHA LIFE INSURANCE COMPANY | 108 | $111K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 186 | — |
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."
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.