| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 2400 NORTH GLENVILLE DRIVE SUITE B125 RICHARDSON, TX 75082 | BLUECROSS BLUESHIELD OF TEXAS | $61K | $7K | $69K | 3.08% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES SOUTHWEST | 2711 NORTH HASKELL AVENUE SUITE 2000 DALLAS, TX 75204 | BLUECROSS BLUESHIELD OF TEXAS | $26K | $7 | $26K | 1.17% |
| INSURICA, INC.3 Filed as: INSURICA INSURANCE SERVICES, LLC | 5100 NORTH CLASSEN BOULEVARD SUITE 300 OKLAHOMA CITY, OK 73118 | BLUECROSS BLUESHIELD OF TEXAS | $17K | $5 | $17K | 0.76% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 1425 WELLINGTON CIRCLE BEAUMONT, TX 77706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $15K | $1K | $17K | 8.66% |
| JAMIE S POPE3 Filed as: JAMIE S. POPE | 1225 NOTTINGHAM LANE BEAUMONT, TX 77706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $7K | $2K | $8K | 4.37% |
| BILLY MARK ROBERSON3 Filed as: BILLY MARK ROBERSON & OTHER AGENTS | 19210 BOCA DEL MAR SAN ANTONIO, TX 78258 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $5K | $509 | $5K | 2.63% |
| DARIN POTTS3 | 100 DETERING STREET, APARTMENT 2128 HOUSTON, TX 77007 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $1K | $4K | 1.86% |
| BOWLES INSURANCE SERVICES LLC3 Filed as: BOWLES INSURANCE SERVICES, LLC | 12816 SOUTH WINDING PINES DRIVE TOMBALL, TX 77375 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $789 | $3K | 1.67% |
| HOWARD HOROWITZ3 Filed as: HOWARD J. HOROWITZ | 2610 ALCOTT STREET CARMEL, IN 46032 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $610 | $3K | 1.50% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES SOUTHWEST | 9811 KATY FREEWAY, SUITE 500 HOUSTON, TX 77024 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $2K | $122 | $3K | 1.34% |
| GULF COAST INSURANCE AGENCY3 Filed as: GULF COAST INSURANCE AGENCY, INC. | PO BOX 7628 BEAUMONT, TX 77726 | DEARBORN LIFE INSURANCE COMPANY | $8K | $0 | $8K | 10.32% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES SOUTHWEST | 9811 KATY FREEWAY, SUITE 500 HOUSTON, TX 77024 | DEARBORN LIFE INSURANCE COMPANY | $3K | $0 | $3K | 3.44% |
| INSURICA, INC.3 Filed as: INSURICA TX INSURANCE SERVICES, INC | 1425 WELLINGTON CIRCLE BEAUMONT, TX 77706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $713 | $58 | $771 | 8.14% |
| USI INSURANCE SERVICES LLC3 Filed as: USI INSURANCE SERVICES SOUTHWEST | 9811 KATY FREEWAY, SUITE 500 HOUSTON, TX 77024 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $160 | $8 | $168 | 1.77% |
| JAMIE S POPE3 | 1225 NOTTINGHAM LANE BEAUMONT, TX 77706 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $83 | $6 | $89 | 0.94% |
| BOWLES INSURANCE SERVICES LLC3 Filed as: BOWLES INSURANCE SERVICES, LLC | 12816 SOUTH WINDING PINES DRIVE TOMBALL, TX 77375 | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | $55 | $6 | $61 | 0.64% |
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 | 207 | 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) | 207 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 271 | $2.2M |
| Dental | BLUECROSS BLUESHIELD OF TEXAS | 271 | $2.2M |
| Vision | DEARBORN LIFE INSURANCE COMPANY | 140 | $80K |
| Life insurance(2 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 255 | $201K |
| Short-term disability | DEARBORN LIFE INSURANCE COMPANY | 140 | $80K |
| Long-term disability | DEARBORN LIFE INSURANCE COMPANY | 140 | $80K |
| Prescription drug | BLUECROSS BLUESHIELD OF TEXAS | 271 | $2.2M |
| Other(2 contracts) | COLONIAL LIFE & ACCIDENT INSURANCE COMPANY | 255 | $201K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 271 | — |
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.