| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | 500 WEST 13TH STREET FORT WORTH, TX 76102 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $74K | $4K | $78K | 14.66% |
| HIGGINBOTHAM INS AGENCY INC3 Filed as: HIGGINBOTHAM INSURANCE AGENCY | 500 WEST 13TH STREET FORT WORTH, TX 76102 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $27K | $0 | $27K | 10.26% |
| GROUP INSURANCE SERVICES INC3 Filed as: GROUP INSURANCE SERVICES, INC. | 1607 NORTH AURORA ROAD, SUITE 201 NAPERVILLE, IL 60563 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $0 | $10K | $10K | 3.84% |
| ALLIANT INSURANCE SERVICES, INC.3 | 450 COUNTRY CLUB ROAD, SUITE 330 EUGENE, OR 97401 | UNITED OF OMAHA LIFE INSURANCE COMPANY | $8K | $0 | $8K | 3.01% |
| DENNIS M COPLAND3 Filed as: DENNIS COPLAND | 6817 K AVENUE, SUITE 104 PLANO, TX 75074 | AFLAC | $653 | $0 | $653 | 2.80% |
| MJ INSURANCE3 Filed as: DAVID KASKA AND VARIOUS AGENTS | 501 BOURLAND ROAD, APARTMENT 3209 KELLER, TX 76248 | AFLAC | $522 | $0 | $522 | 2.24% |
| MARK LITTLE3 | 5101 LOMA ALTA DRIVE FRISCO, TX 75034 | AFLAC | $463 | $0 | $463 | 1.99% |
| ROBERT MOSS3 Filed as: ROBERT SWANGO | 8240 MANDERVILLE LANE APARTMENT 804 DALLAS, TX 75231 | AFLAC | $283 | $0 | $283 | 1.21% |
| JERRY M. SHULER3 Filed as: JERRY DHULER | 12336 VERONICA ROAD DALLAS, TX 75234 | AFLAC | $202 | $0 | $202 | 0.87% |
| JOHN DEE MAULDIN3 Filed as: JOHN MAULDIN | 6612 TERRACE MILL LANE PLANO, TX 75024 | AFLAC | $145 | $0 | $145 | 0.62% |
| SHARYL K BATHE Filed as: SHARYL JUNEAU | 620 ODD FELLOW ROAD MATTOON, IL 61938 | AFLAC | $89 | $0 | $89 | 0.38% |
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 | 195 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 2 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 197 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 142 | $535K |
| Dental | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $259K |
| Vision | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $259K |
| Life insurance | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $259K |
| Short-term disability(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $282K |
| Long-term disability | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $259K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 142 | $535K |
| Other(2 contracts, 2 carriers) | UNITED OF OMAHA LIFE INSURANCE COMPANY | 195 | $282K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 195 | — |
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.