| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| GBC BENEFITS LTD3 Filed as: GBC BENEFITS, LTD. | 2409 FOREST PARK BLVD. FORT WORTH, TX 76110 | BLUECROSS BLUESHIELD OF TEXAS | — | $75K | $75K | 2.19% |
| GBC BENEFITS LTD3 Filed as: GBC BENEFITS, LTD. | 2409 FOREST PARK BLVD. FORT WORTH, TX 76110 | BLUECROSS BLUESHIELD OF TEXAS | $55 | $3K | $3K | 0.09% |
| GBC BENEFITS LTD3 Filed as: GBC BENEFITS, LTD. | 2409 FOREST PARK BLVD. 2ND FLOOR FORT WORTH, TX 76110 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $31K | $10K | $40K | 13.13% |
| GBC BENEFITS LTD3 Filed as: GBC BENEFITS, LTD. | 2409 FOREST PARK BLVD. 2ND FLOOR FORT WORTH, TX 76110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $21K | $2K | $23K | 21.51% |
| GBC BENEFITS LTD3 Filed as: GBC BENEFITS, LTD. | 2409 FOREST PARK BLVD. 2ND FLOOR FORT WORTH, TX 76110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $10K | $963 | $11K | 16.51% |
| GBC BENEFITS LTD3 Filed as: GBC BENEFITS, LTD. | 2409 FOREST PARK BLVD. 2ND FLOOR FORT WORTH, TX 76110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $11K | $811 | $11K | 21.53% |
| GBC BENEFITS LTD3 Filed as: GBC BENEFITS, LTD. | 2409 FOREST PARK BLVD. 2ND FLOOR FORT WORTH, TX 76110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $7K | $692 | $8K | 16.51% |
| GBC BENEFITS LTD3 Filed as: GBC BENEFITS, LTD. | 2409 FOREST PARK BLVD. 2ND FLOOR FORT WORTH, TX 76110 | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | $2K | $133 | $3K | 21.08% |
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 | 600 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 600 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | BLUECROSS BLUESHIELD OF TEXAS | 600 | $3.4M |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 335 | $308K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 335 | $308K |
| Life insurance(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 436 | $159K |
| Short-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 264 | $46K |
| Long-term disability | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 401 | $64K |
| Other(2 contracts) | THE LINCOLN NATIONAL LIFE INSURANCE COMPANY | 401 | $65K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 600 | — |
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.
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.